Application Form

Name of Candidate Avanish Kumar
911041392771

Student Photo Not Available
Mother's Name Lalita Devi
Father's Name Devendra Poddar
Date of Birth * 18-Sep-1995
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address vidyapuram colony mirjanhat bhagalpur bihar 812005
Mobile No. 9504464767
Email Address

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