Application Form

Name of Candidate Dinesh Kumar Gupta
911041180133

Student Photo Not Available
Mother's Name Veena Devi
Father's Name Late Umesh Prasad Sah
Date of Birth * 19-Jan-1980
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address AT+PO - belari , PS- shambhuganj, Dist:- BANKA, bihar - 813211
Mobile No. 9006003998
Email Address dineshguptabgp@gmail.com

Course Details

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

Center Details

Center Code 91104118
Center Name Sterliate Training Institute
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