Application Form

Name of Candidate Mithun Kumar
911041180731

Student Photo Not Available
Mother's Name Renu Devi
Father's Name Prakash Mandal
Date of Birth * 10-Aug-1990
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Gram-angari Po-puraini ward no. - 13 puraini bhagalpur bihar 812005
Mobile No. 8721989005
Email Address kumarmithun292929@gmail.com

Course Details

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

Center Details

Center Code 91104118
Center Name Sterliate Training Institute
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