Application Form

Name of Candidate Brajesh Kumar Thakur
911041050877

Student Photo Not Available
Mother's Name Savita Devi
Father's Name Ranjit Thakur
Date of Birth * 04-May-2003
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address AT PAHLANPUR PO PARARIA PS SHAMBHUGANJ DIST BANKA
Mobile No. 9798077868
Email Address KUMARBRAJESH32803@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