|
||||
Application Form | ||||
| Name of Candidate | Nursba Praveen |
911084580032 
|
||
| Mother's Name | Saibun Nesa | |||
| Father's Name | Manjur Alam | |||
| Date of Birth * | 15-Sep-2002 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | C/O:- MANJUR ALAM GRAM SHYAMPUR BAZAR, WARD NO-11, PO-ADAPUR, PS-ADAPUR, DIST-EAST CHAMPARAN BIHAR-845301 | |||
| Mobile No. | 9905163900 | |||
| Email Address | ladlypraveen849@gmail.com | |||
Course Details |
||||
| Course Name /Code | Advance Diploma in Computer Application (ADCA) | |||
| Course Duration | 12 Months | |||
Center Details |
||||
| Center Code | 91108458 | |||
| Center Name | Tejas Computer Education | |||
| Center Address | Chauradano | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||