Application Form

Name of Candidate Nainsi Rathaur
911031340426

Student Photo Not Available
Mother's Name Anju Devi
Father's Name Kumar Bablu
Date of Birth * 15-Jan-2007
Gender FEMALE
Enrollment No.
Nationality INDIAN
Present Address Vill.bheriya kala. Po.Bijubigha. Ps.Buniyadganj Dist Gaya
Mobile No. 7979902567
Email Address sumanchouhan1581993@gmail.com

Course Details

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

Center Details

Center Code 91103134
Center Name Computer Training Institute MAX
Center Address SadiPur,Manpur
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory