|
||||
Application Form | ||||
| Name of Candidate | Saurabh Kumar Hari |
911041390426 
|
||
| Mother's Name | Sarika Devi | |||
| Father's Name | Sanjay Hari | |||
| Date of Birth * | 04-Mar-2001 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | AT- amrit Lal lane, po- barari, ps-barari bhagalpur bihar pin code-812003 | |||
| Mobile No. | 7857876205 | |||
| Email Address | saurabhkumarhari60@gmail.com | |||
Course Details |
||||
| Course Name /Code | Diploma in Computer Application (DCA) | |||
| Course Duration | 6 Months | |||
Center Details |
||||
| Center Code | 91104139 | |||
| Center Name | Lord Buddha Computer Training Centre | |||
| Center Address | Adampur | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||