Application Form

Name of Candidate Birsa Kumar
911041050844

Student Photo Not Available
Mother's Name Radha Devi
Father's Name Hira Bind
Date of Birth * 07-Dec-2000
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address AT SHIVNANDANPUR PO PS SULTANGANJ DIST BHAGALPUR PIN 813213
Mobile No. 6209450013
Email Address ANSHURAJADEO@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