Application Form

Name of Candidate Bashu Chandra
911041180790

Student Photo Not Available
Mother's Name Nilu Jha
Father's Name Sanjay Kumar Jha
Date of Birth * 10-Oct-1997
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address mohaddinagar mirjanhat bhagalpur bihar 812005
Mobile No. 7282066696
Email Address bashuchandrabgp@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