|
||||
Application Form | ||||
| Name of Candidate | Mokhtar Ali |
911052170010 
|
||
| Mother's Name | Salma Nesha | |||
| Father's Name | Saheban Miya | |||
| Date of Birth * | 10-Oct-1986 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | PIPRA PURVI TOLA, PO+PS-DARPA CHAURADANO, EATS CHAMPARAN BIHAR-845302 | |||
| Mobile No. | 9973092255 | |||
| Email Address | mokhtarpipra786@gmail.com | |||
Course Details |
||||
| Course Name /Code | Advance Diploma in Computer Application (ADCA) | |||
| Course Duration | 12 Months | |||
Center Details |
||||
| Center Code | 91105217 | |||
| Center Name | Sterlite Computer Education | |||
| Center Address | Bhawanipur Zirat, Motihari-845401 | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||