|
||||
Application Form | ||||
| Name of Candidate | Shahnaj Praween |
911063090365 
|
||
| Mother's Name | Sajda Khatoon | |||
| Father's Name | Md Irshad Khan | |||
| Date of Birth * | 05-Jun-2004 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Vill- Makhdumpur, po- Tungi, Ps-Wazirganj, Dist-Gaya Bihar, Pin Code-805129 | |||
| Mobile No. | 9572733984 | |||
| Email Address | shahnajpraween019@gmail.com | |||
Course Details |
||||
| Course Name /Code | Advance Diploma in Computer Application (ADCA) | |||
| Course Duration | 12 Months | |||
Center Details |
||||
| Center Code | 91106309 | |||
| Center Name | A Global Computer Academy | |||
| Center Address | Wazirganj | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||