Application Form

Name of Candidate Anjali Kumari
911041050217

Student Photo Not Available
Mother's Name Pinki Devi
Father's Name Sanjay Thakur
Date of Birth * 05-Aug-1999
Gender FEMALE
Enrollment No.
Nationality INDIAN
Present Address At mandir ghat
Mobile No. 7979974931
Email Address anjalikumari.stg@gmail.com

Course Details

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

Center Details

Center Code 91104105
Center Name Lord Buddha Computer Institute
Center Address Sultanganj
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory