Application Form

Name of Candidate Rounak Kumar
911041402185

Student Photo Not Available
Mother's Name Vina Devi
Father's Name Anil Jha
Date of Birth * 29-Apr-2005
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Srirampur, thuthi, parabatta, khagaria -851216
Mobile No. 7484047301
Email Address rounakk261@gmail.com

Course Details

Course Name /Code Diploma in Computer Application (DCA)
Course Duration 6 Months

Center Details

Center Code 91104140
Center Name Computer Institute of Technology
Center Address Mirjanhat
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory