Application Form

Name of Candidate Lakshmi Kumari
911041390894

Student Photo Not Available
Mother's Name Kalpna Devi
Father's Name Dinesh Sharma
Date of Birth * 10-Apr-2002
Gender FEMALE
Enrollment No.
Nationality INDIAN
Present Address Simanpur sadipur Bhagalpur Bihar pin code-813209
Mobile No. 8579842098
Email Address lakshmippt02@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