Application Form

Name of Candidate Roshan Kumar
911073320004

Student Photo Not Available
Mother's Name Indu Kumari
Father's Name Gopal Paswan
Date of Birth * 20-Feb-2003
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address AT-ITHARI PO-HARDI, PS-SUPAUL, DIST-SUPAUL 852108
Mobile No. 6203287185
Email Address sunilcsk94@gmail.com

Course Details

Course Name /Code Advance Diploma in Computer Application (ADCA)
Course Duration 12 Months

Center Details

Center Code 91107332
Center Name S.S.Computer Centre
Center Address Ithari Hardi West
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory