Application Form

Name of Candidate Anchal Kumari
911041051693

Student Photo Not Available
Mother's Name Nirmala Devi
Father's Name Bechan Mandal
Date of Birth * 15-Apr-2004
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address At - Aadarshnagar, Post + PS - Sultanganj Bhagalpur Bihar 813213
Mobile No. 6299646412
Email Address anchalroy813213sgg@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