Application Form

Name of Candidate Raksha Bharti
911041390849

Student Photo Not Available
Mother's Name Niva Kumari
Father's Name Prabhakar Rao
Date of Birth * 09-Aug-2004
Gender FEMALE
Enrollment No.
Nationality INDIAN
Present Address Bishnupur Rajoun Banka Bihar pin code-813105
Mobile No. 8002814939
Email Address rakshabharti2002@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