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Application Form | ||||
| Name of Candidate | Rohit Harijan |
911029810008 
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| Mother's Name | Nima Devi | |||
| Father's Name | Kailash Harijan | |||
| Date of Birth * | 06-Apr-1987 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | At-Sadanand Pur Baisa Post-Akbarpur kahalgaon Bhagalpur (bihar)813222 | |||
| Mobile No. | 9771282979 | |||
| Email Address | rohitclg8@gmail.com | |||
Course Details |
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| Course Name /Code | Advance Diploma in Computer Application (ADCA) | |||
| Course Duration | 12 Months | |||
Center Details |
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| Center Code | 91102981 | |||
| Center Name | C. T. I | |||
| Center Address | Madhopur Karhar, Nandlalpur, Kahalgaown | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
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Place: _______________ Date : _______________ |
Authorized Signatory |
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