Application Form

Name of Candidate Soma Kumari
911041592706

Student Photo Not Available
Mother's Name Mukta Basak
Father's Name Narayan Basak
Date of Birth * 01-Aug-2007
Gender FEMALE
Enrollment No.
Nationality INDIAN
Present Address DN singh road Kharmanchak bhagalpur bihar 812001
Mobile No. 9470762014
Email Address soma__kumari809@gmail.com

Course Details

Course Name /Code Diploma in Computer Application (DCA)
Course Duration 6 Months

Center Details

Center Code 91104159
Center Name Lord Buddha Educational Centre
Center Address Adampur
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory