Application Form

Name of Candidate Ranjan Kumar
911031340141

Student Photo Not Available
Mother's Name Shobha Devi
Father's Name Kailu Yadav
Date of Birth * 04-Sep-2002
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Vill . Songra .po. Sondhi . Ps.buniyadganj . Dist. Gaya . State .bihar
Mobile No. 8252716808
Email Address sumanchouhan1581993@gmail.com

Course Details

Course Name /Code Diploma in Computer Application (DCA)
Course Duration 6 Months

Center Details

Center Code 91103134
Center Name Computer Training Institute MAX
Center Address SadiPur,Manpur
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory