|
||||
Application Form | ||||
| Name of Candidate | Anuj Kumar |
911041020087 
|
||
| Mother's Name | Prem Lata Devi | |||
| Father's Name | Gopal Prasad Sah | |||
| Date of Birth * | 10-Dec-1997 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | KATIHAR, BIHAR-854113 | |||
| Mobile No. | 7282965326 | |||
| Email Address | Anujkr101297@Gmail.Com | |||
Course Details |
||||
| Course Name /Code | Diploma in Computer Application (DCA) | |||
| Course Duration | 6 Months | |||
Center Details |
||||
| Center Code | 91104102 | |||
| Center Name | Sterliate Training Institute | |||
| Center Address | Khanjarpur | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||