Application Form

Name of Candidate Mandeep Raj
911041390596

Student Photo Not Available
Mother's Name Sanjukta Kumari
Father's Name Mukesh Kumar
Date of Birth * 14-Mar-2008
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Near junior saint Teresa s school, adampur Bhagalpur Bihar pin code-812001
Mobile No. 8651351220
Email Address

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