|
||||
Application Form | ||||
| Name of Candidate | Sujit Kumar |
911012560207 
|
||
| Mother's Name | Saroj Devi | |||
| Father's Name | Dharmendra Kumar Nirala | |||
| Date of Birth * | 18-Jan-2001 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | S/O-DHARMENDRA KUMAR NIRALA VILL-KARJARA POST-KARJARA PS-BEN | |||
| Mobile No. | 6204953093 | |||
| Email Address | ||||
Course Details |
||||
| Course Name /Code | Advance Diploma in Computer Application (ADCA) | |||
| Course Duration | 12 Months | |||
Center Details |
||||
| Center Code | 91101256 | |||
| Center Name | BT Vision Computer Institute & Training Centre | |||
| Center Address | Bhui | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||