Application Form

Name of Candidate Saurav Kumar
911041050477

Student Photo Not Available
Mother's Name Anita Devi
Father's Name Lal Babu Sahni
Date of Birth * 10-Aug-2000
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address AT+POST- paria BARIARPUR, DIST- MUNGER 811211
Mobile No. 8409371389
Email Address sauravkumar082000@gmail.com

Course Details

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

Center Details

Center Code 91104105
Center Name Lord Buddha Computer Institute
Center Address Sultanganj
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory