Application Form

Name of Candidate Saurav Kumar
911041390806

Student Photo Not Available
Mother's Name Renu Devi
Father's Name Subhash Chandra Ray
Date of Birth * 09-Jan-2000
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Shivalay mandir hasanganj english, munger Bihar pin code-811214
Mobile No. 7644913653
Email Address sauravkumar72650@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