|
||||
Application Form | ||||
| Name of Candidate | Shivram Krishna Kumar |
911024100019 
|
||
| Mother's Name | Muneshwari Devi | |||
| Father's Name | Kamleshwari Mandal | |||
| Date of Birth * | 12-Feb-1994 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | rajghat,po-bhalua,ps-shambhuganj,dist-banka-813207 | |||
| Mobile No. | 7209436424 | |||
| Email Address | shivramkrishnakum@gmail.com | |||
Course Details |
||||
| Course Name /Code | Diploma in Computer Application (DCA) | |||
| Course Duration | 6 Months | |||
Center Details |
||||
| Center Code | 91102410 | |||
| Center Name | Unique Computer Centre | |||
| Center Address | Gulni Kushaha ,Shambhu Ganj | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||