Application Form

Name of Candidate Vivek Kumar
911041050325

Student Photo Not Available
Mother's Name Neelam Devi
Father's Name Jagdish Choudhary
Date of Birth * 12-Feb-1998
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address AT INDRAPURI GALI SULTANGANJ BHAGALPUR
Mobile No. 9060711945
Email Address viveksgg@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