|
||||
Application Form | ||||
| Name of Candidate | Pallavi Priya |
911024100020 
|
||
| Mother's Name | Kiran Devi | |||
| Father's Name | Pawan Kumar | |||
| Date of Birth * | 04-Apr-2004 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | banka-813221 | |||
| Mobile No. | 8969240863 | |||
| Email Address | pallavikumari442004@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 |
|||
|
| ||||