Application Form

Name of Candidate Ashiyan
911012480175

Student Photo Not Available
Mother's Name Shakuntla Devi
Father's Name Satyadeo Prasad
Date of Birth * 25-Oct-1999
Gender FEMALE
Enrollment No.
Nationality INDIAN
Present Address Hafichak, PO-Raitar ,Thana-Silao, Raitar ,Giriyak , Nalanda-803109
Mobile No. 6299025135
Email Address raniashiyan@gmail.Com

Course Details

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