Application Form

Name of Candidate Ayush Kumar
912036760077

Student Photo Not Available
Mother's Name Reena Devi
Father's Name Shivdayal Mandal
Date of Birth * 13-Aug-2013
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Hajipur diyara, Mirzacheuki, sahibganj, jharkhand, pin code -813208
Mobile No. 7541971929
Email Address rajpramod65@gmail.com

Course Details

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

Center Details

Center Code 91203676
Center Name C.T.I
Center Address Mahadev Waran , Mirzacheuki
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory