|
||||
Application Form | ||||
| Name of Candidate | Abhinav Kumar |
911079150010 
|
||
| Mother's Name | Pushpa Rani | |||
| Father's Name | Rajendra Mandal | |||
| Date of Birth * | 25-Apr-1998 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | AT+POST-BALIA,P.S-RUPOULI , DIST-PURNIA BIHAR ,854204 | |||
| Mobile No. | 8405092941 | |||
| Email Address | abhinav.new1234@gmail.com | |||
Course Details |
||||
| Course Name /Code | Diploma in Computer Application (DCA) | |||
| Course Duration | 6 Months | |||
Center Details |
||||
| Center Code | 91107915 | |||
| Center Name | Apex Computer Centre | |||
| Center Address | Bihariganj-852101 | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||