Application Form

Name of Candidate Shishupal Raj
911012070034

Student Photo Not Available
Mother's Name Usha Devi
Father's Name Sanjay Yadav
Date of Birth * 13-May-2001
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address GANJPAR PO TUNGI PS DEEPNAGAR NALANDA
Mobile No. 8434809085
Email Address rakeshkumar7524@gmail.com

Course Details

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