Application Form

Name of Candidate Akshay Kumar
911041051717

Student Photo Not Available
Mother's Name Nilam Devi
Father's Name Subodh Kumar
Date of Birth * 30-Nov-1986
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address At - Purani kherhi, post+ ps - Shahkund, dist - Bhagalpur, Bihar, 813108
Mobile No. 7011752399
Email Address akshaykumarji2571@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