Application Form

Name of Candidate Amrit Kumar
911041050317

Student Photo Not Available
Mother's Name Shobha Devi
Father's Name Subhash Mandal
Date of Birth * 05-Feb-2001
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address AT BANGALI TOLA KALYANPUR POST KALYANPUR DIST MUNGER
Mobile No. 9334671240
Email Address amritkumarbt@gmail.com

Course Details

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