|
||||
Application Form | ||||
| Name of Candidate | Prince Sharma |
911012740144 
|
||
| Mother's Name | Bebi Devi | |||
| Father's Name | Santosh Kumar Sharma | |||
| Date of Birth * | 12-Dec-2005 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | C/O :-SANTOSH KUMAR SHARMA,VILL-SEEMA,PO/PS-SILAO,SIMA,PO-SILAO,DIST-NALANDA,BIHAR-803117 | |||
| Mobile No. | 6201407886 | |||
| Email Address | ||||
Course Details |
||||
| Course Name /Code | Advance Diploma in Computer Application (ADCA) | |||
| Course Duration | 12 Months | |||
Center Details |
||||
| Center Code | 91101274 | |||
| Center Name | Drishti Computer Institute | |||
| Center Address | Naisarai, Bihar Sharif | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||