|
||||
Application Form | ||||
| Name of Candidate | Priyanshu Kumar |
911041051042 
|
||
| Mother's Name | Pampam Devi | |||
| Father's Name | Priytam Kumar | |||
| Date of Birth * | 29-Sep-2006 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | AT - ADARSHNAGAR POST + pS - SULTANGANJ DIST - BHAGALPUR, BIHAR, 813213 | |||
| Mobile No. | 7004922779 | |||
| Email Address | priyanshukumar4007@gmail.com | |||
Course Details |
||||
| Course Name /Code | Diploma in Computer Application (DCA) | |||
| Course Duration | 6 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 |
|||
|
| ||||