Application Form

Name of Candidate Manash Kumar
911078460147

Student Photo Not Available
Mother's Name Baby Devi
Father's Name Kali Kant Roy
Date of Birth * 20-Feb-2000
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address AT-REFUJEE COLONEY WARD NO.05,SAHARSA
Mobile No. 6203139118
Email Address manashroy450@gmail.com

Course Details

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

Center Details

Center Code 91107846
Center Name Tejas Computer Institute
Center Address Parwiniya ,Sonbarsa Kachari Road
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory