|
||||
Application Form | ||||
| Name of Candidate | Prem Shankar |
911012480087 
|
||
| Mother's Name | Pratima Devi | |||
| Father's Name | Shambhu Sharan Prasad | |||
| Date of Birth * | 05-Jan-1994 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Mohalla-Ghanga Nagar, Bihar shrif, Post-Muraura, PS-Bihar sharif, Bihar Sharif, Nalanda, Bihar, 803101 | |||
| Mobile No. | 9692003288 | |||
| Email Address | premshnkr94@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 |
|||
|
| ||||