|
||||
Application Form | ||||
| Name of Candidate | Jatin Sirola |
910711630002 
|
||
| Mother's Name | Kamala Sirola | |||
| Father's Name | Umesh Singh Sirola | |||
| Date of Birth * | 09-May-2007 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | S/o Umesh Singh Sirola , H.No.5 ka, Jingal Ganv , Khanvatadi kapdeeganv , Pithoragarh, uttarakhand - 262541 | |||
| Mobile No. | 8130347421 | |||
| Email Address | jatinsirola4@gmail.com | |||
Course Details |
||||
| Course Name /Code | Diploma in Computer Application (DCA) | |||
| Course Duration | 6 Months | |||
Center Details |
||||
| Center Code | 91071163 | |||
| Center Name | Raj Computer Training Centre | |||
| Center Address | Dallupura | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||