Application Form

Name of Candidate Suresh Kumar
911041050302

Student Photo Not Available
Mother's Name Maro Devi
Father's Name Rajendra Ravidas
Date of Birth * 10-Jan-1998
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address AT MOR POST MOR PS MOKAMA DIST PATNA
Mobile No. 9006910434
Email Address jk.5174@rediffmail.com

Course Details

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

Center Details

Center Code 91104105
Center Name Lord Buddha Computer Institute
Center Address Sultanganj
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory