Application Form

Name of Candidate Naveen Kumar
911052220006

Student Photo Not Available
Mother's Name Anita Devi
Father's Name Suresh Prasad Kushwaha
Date of Birth * 17-Dec-1999
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address S O- Suresh Prasad Kushwaha, Kushwaha Tola, Gram post - Mehta Tola, Man Tola East Champaran, Dariapur,Bihar - 845417
Mobile No. 8227069924
Email Address

Course Details

Course Name /Code Advance Diploma in Computer Application (ADCA)
Course Duration 12 Months

Center Details

Center Code 91105222
Center Name PDS Computer Education
Center Address Motihari
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory