Application Form

Name of Candidate Navneet Kumar
911041140144

Student Photo Not Available
Mother's Name Punam Devi
Father's Name Pankaj Kumar
Date of Birth * 01-Dec-2004
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address vill- adavari, po- keshav nagar, dist- khagario, 851201
Mobile No. 8877725093
Email Address navneetkumarq94@gmail.com

Course Details

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

Center Details

Center Code 91104114
Center Name CTI
Center Address NH-80, Opp.Tata Motors, Sabour
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory