Application Form

Name of Candidate Kajal Kumari
911041390757

Student Photo Not Available
Mother's Name Sunita Devi
Father's Name Pramod Sah
Date of Birth * 16-Apr-2003
Gender FEMALE
Enrollment No.
Nationality INDIAN
Present Address Budhuchak, Mohanpur,gaughatta,inglish Bhagalpur Bihar pin code-813222
Mobile No. 6299660481
Email Address kajalbgp23956@gmail.com

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