|
||||
Application Form | ||||
| Name of Candidate | Vivek Vishal |
911041780462 
|
||
| Mother's Name | Purnima Devi | |||
| Father's Name | Bishdhar Tanti | |||
| Date of Birth * | 05-Apr-2002 | |||
| Gender | MALE | |||
| Enrollment No. | Bgp/19/09/adca/28/14 | |||
| Nationality | INDIAN | |||
| Present Address | Bhagalpur | |||
| Mobile No. | 9798015445 | |||
| Email Address | vivekvishalace686@gmail.com | |||
Course Details |
||||
| Course Name /Code | Advance Diploma in Computer Application (ADCA) | |||
| Course Duration | 12 Months | |||
Center Details |
||||
| Center Code | 91104178 | |||
| Center Name | Lord Buddha Educational Trust | |||
| 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 |
|||
|
| ||||