|
||||
Application Form | ||||
| Name of Candidate | Kaushal Kumar Chaupal |
911078460145 
|
||
| Mother's Name | Parmila Devi | |||
| Father's Name | Rajkishor Chaupal | |||
| Date of Birth * | 15-Dec-2001 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | aT-JAJAURI WARD NO.13,GOPALPUR,SAHARSA | |||
| Mobile No. | 8340221482 | |||
| Email Address | kk4405715@gmail.com | |||
Course Details |
||||
| Course Name /Code | Diploma in Computer Application (DCA) | |||
| Course Duration | 6 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 |
|||
|
| ||||