Application Form

Name of Candidate Kumar Satyam
911041051679

Student Photo Not Available
Mother's Name Punam Singh
Father's Name Birendra Kumar Singh
Date of Birth * 10-Feb-1996
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Near Baidyanath Dham Station, Beside the Street of ( Glam Studio ) Roy Bangal, Castairs Town, Deoghar, Jharkhand - 814112
Mobile No. 7909067949
Email Address kumarsatyam2568@gmail.com

Course Details

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