Application Form

Name of Candidate Rohit Kumar
911012480154

Student Photo Not Available
Mother's Name Gita Devi
Father's Name Radhe Paswan
Date of Birth * 05-Feb-2002
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Vill- sargaon, Post- Dhahpar sargaon, sub district- Noorsarai, District- Nalanda, State- bihar,Pin-803114
Mobile No. 9911395072
Email Address rk4753481@gmail.com

Course Details

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