Application Form

Name of Candidate Sujeet Kumar
911041260726

Student Photo Not Available
Mother's Name Fulan Devi
Father's Name Umesh Yadav
Date of Birth * 01-Jan-2007
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Vill- taraura, P.s -Daniyawan , District- patna
Mobile No. 7319711488
Email Address yaduvanshisujeet9@gamil.com

Course Details

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

Center Details

Center Code 91104126
Center Name Sterliate Training Institute
Center Address Laluchak
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory