|
||||
Application Form | ||||
| Name of Candidate | Praveen Kumar |
911041392076 
|
||
| Mother's Name | Lalita Devi | |||
| Father's Name | Sanjib Kumar Mishra | |||
| Date of Birth * | 25-Dec-1998 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | kC ghosh lane jogsar bamkali budhanath bhagalpur bihar 812002 | |||
| Mobile No. | 8409464867 | |||
| Email Address | praveenmishra2525@gmail.com | |||
Course Details |
||||
| Course Name /Code | Diploma in Computer Application (DCA) | |||
| Course Duration | 6 Months | |||
Center Details |
||||
| Center Code | 91104139 | |||
| Center Name | Lord Buddha Computer Training Centre | |||
| Center Address | Adampur | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||