|
||||
Application Form | ||||
| Name of Candidate | Md. Wasim Akram Ansari |
911041020026 
|
||
| Mother's Name | Bi Bi Zahida Khatun | |||
| Father's Name | Md. Sohail Ansari | |||
| Date of Birth * | 20-Nov-2000 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | KAMALCHAK PURAINI NEAR KABRISTAN PURAINI BHAGALPUR | |||
| Mobile No. | 7549252108 | |||
| Email Address | ||||
Course Details |
||||
| Course Name /Code | Advance Diploma in Computer Application (ADCA) | |||
| Course Duration | 12 Months | |||
Center Details |
||||
| Center Code | 91104102 | |||
| Center Name | Sterliate Training Institute | |||
| Center Address | Khanjarpur | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||