Application Form

Name of Candidate Chandan Kumar Sharma
911052170005

Student Photo Not Available
Mother's Name Sonamati Devi
Father's Name Madan Sharma
Date of Birth * 16-Dec-1998
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address S O: MADAN SHARMA, JAMUNIA PURAB TOLA WARD-03, JAMUINA, WEST CHAMPARAN, BIHAR-845439
Mobile No. 7322015891
Email Address chandannirala1020@gmail.com

Course Details

Course Name /Code Post Graduate Diploma in Computer Application (PGDCA)
Course Duration 15 Months

Center Details

Center Code 91105217
Center Name Sterlite Computer Education
Center Address Bhawanipur Zirat, Motihari-845401
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory