Application Form

Name of Candidate Chandan Kumar
911084580034

Student Photo Not Available
Mother's Name Shobha Devi
Father's Name Brijkishor Prasad Yadav
Date of Birth * 01-May-2009
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address C/O:- BRIJKISHOR PRASAD YADAV, VILL-EKDARI, PO-EKDARI, PS-CHAURADANO, VIA-CHAURADANO, DIST-EAST CHAMPARAN BIHAR-845302
Mobile No. 7277528064
Email Address chandankumar123023@gmail.com

Course Details

Course Name /Code Diploma in Computer Application (DCA)
Course Duration 6 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