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Application Form | ||||
| Name of Candidate | Komal |
911072080217 
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| Mother's Name | Sunita Devi | |||
| Father's Name | Shashi Bhushan Mallick | |||
| Date of Birth * | 11-Oct-1998 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | VILL- AMTA, DOHAT, NARAYAN, PS- BAHERI, DBG 847105 | |||
| Mobile No. | 9113475044 | |||
| Email Address | s9113475044@gmail.com | |||
Course Details |
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| Course Name /Code | Post Graduate Diploma in Computer Application (PGDCA) | |||
| Course Duration | 15 Months | |||
Center Details |
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| Center Code | 91107208 | |||
| Center Name | Dronacharya Computer Academy | |||
| Center Address | Laheria Sarai | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
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Place: _______________ Date : _______________ |
Authorized Signatory |
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