Application Form

Name of Candidate Krishandeo Anand
911041140066

Student Photo Not Available
Mother's Name Anita Devi
Father's Name Vilkshan Mandal
Date of Birth * 06-Jun-2001
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address AT- NAYA TOLA PHULKIYA, PO PHULKIYA BHAGALPUR BIHAR 853205
Mobile No. 7808418938
Email Address

Course Details

Course Name /Code Advance Diploma in Computer Application (ADCA)
Course Duration 12 Months

Center Details

Center Code 91104114
Center Name CTI
Center Address NH-80, Opp.Tata Motors, Sabour
Decleration

I hereby declared that all the informations are correct and true to the best of my knowledge and belief.

Place: _______________

Date : _______________
Authorized Signatory