Application Form

Name of Candidate Dhiraj Kumar
911041780645

Student Photo Not Available
Mother's Name Shanti Devi
Father's Name Suresh Mehtar
Date of Birth * 26-Mar-2003
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Vill-goyera lakhanpur, po-ramchua Ps-Tarapur ramchua Banka Bihar 813211
Mobile No. 7050158152
Email Address dheerajku8150@gmail.com

Course Details

Course Name /Code Diploma in Computer Application (DCA)
Course Duration 6 Months

Center Details

Center Code 91104178
Center Name Lord Buddha Educational Trust
Center Address Adampur
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory