Application Form

Name of Candidate Pritam Raj
911012480045

Student Photo Not Available
Mother's Name Sulekha Devi
Father's Name Janardan Prasad
Date of Birth * 02-Sep-1998
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Vill-Asta kharjama, P.S-Tharthari, Asta, Nalanda, Bihar- 803120
Mobile No. 9006999261
Email Address pritamrajk145@gmail.com

Course Details

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

Center Details

Center Code 91101248
Center Name Drishti Computer Institute
Center Address Quamruddin Ganj,Bihar Sharif
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory