Application Form

Name of Candidate Dilip Kumar Prabhakar
911012070007

Student Photo Not Available
Mother's Name Rukamini Devi
Father's Name Suresh Mahto
Date of Birth * 30-Jul-1995
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address VILL MANP0UR PO ALIGANJ PS CHANDRADEEP DIST JAMUI BIHAR 811301
Mobile No. 7903064551
Email Address dilip88090@gmil.com

Course Details

Course Name /Code Post Graduate Diploma in Computer Application (PGDCA)
Course Duration 15 Months

Center Details

Center Code 91101207
Center Name Institute of Computer Technology
Center Address Garh Par,Bihar Sharif-803101
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory