Application Form

Name of Candidate Abhishek Manu
911041390508

Student Photo Not Available
Mother's Name Abhilasha Verma
Father's Name Sangeet Kumar Verma
Date of Birth * 12-Dec-2004
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address At+po- adabari, ps- pipra, dis- khagaria bihar pin code 851201
Mobile No. 8676896119
Email Address

Course Details

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