Application Form

Name of Candidate Mona Kumari
911024100007

Student Photo Not Available
Mother's Name Bebi Devi
Father's Name Niraj Prasad Singh
Date of Birth * 02-Apr-1998
Gender FEMALE
Enrollment No.
Nationality INDIAN
Present Address Gulni kushaha shambhughang Banka
Mobile No. 9608633996
Email Address monakumari8548@gmail.com

Course Details

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

Center Details

Center Code 91102410
Center Name Unique Computer Centre
Center Address Gulni Kushaha ,Shambhu Ganj
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory