Application Form

Name of Candidate Srikant Kumar
911012480138

Student Photo Not Available
Mother's Name Chinta Devi
Father's Name Dwarika Mahto
Date of Birth * 28-Feb-1991
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Raja kuan, Bihar Sharif, Nalanda, Bihar-803101
Mobile No. 9798777510
Email Address srikant280291@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