Application Form

Name of Candidate Rohit Kumar
911078460257

Student Photo Not Available
Mother's Name Karuna Devi
Father's Name Rajaram Yadav
Date of Birth * 23-Feb-2001
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address aT-PARWINIYA,PO-DIWARI,PS-SONBARSA KACHAHARI,SAHARSA
Mobile No. 8825394625
Email Address ry3072421@gmail.com

Course Details

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

Center Details

Center Code 91107846
Center Name Tejas Computer Institute
Center Address Parwiniya ,Sonbarsa Kachari Road
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory