Application Form

Name of Candidate Amit Kumar
911041050805

Student Photo Not Available
Mother's Name Bindu Devi
Father's Name Siyaram Sah
Date of Birth * 05-Mar-2006
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address at- gangapur, sultanganj, bhagalpur, bihar, 813213
Mobile No. 7737867918
Email Address amitkumarsgg45@gmail.com

Course Details

Course Name /Code Diploma in Computer Application (DCA)
Course Duration 6 Months

Center Details

Center Code 91104105
Center Name Lord Buddha Computer Institute
Center Address Sultanganj
Decleration

I hereby declared that all the informations are correct and true to the best of my knowledge and belief.

Place: _______________

Date : _______________
Authorized Signatory