Application Form

Name of Candidate Nitin Kumar
911041390789

Student Photo Not Available
Mother's Name Soni Devi
Father's Name Roushan Roy
Date of Birth * 10-Jan-2004
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Telghi, kharik bazar Bhagalpur Bihar pin code-853202
Mobile No. 9002643116
Email Address roynitin338@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