Application Form

Name of Candidate Rakesh Kumar
911012480056

Student Photo Not Available
Mother's Name Minta Devi
Father's Name Ashok Sharma
Date of Birth * 14-Apr-1999
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Vill-Basti, P.S-Harnaut, Basti, Nalanda, Harnaut, Bihar, 803110
Mobile No. 7644903424
Email Address rakeshkumar14041999@gmail.com

Course Details

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