|
||||
Application Form | ||||
| Name of Candidate | Sumit Kumar Gupta |
911041051923 
|
||
| Mother's Name | Nisha Kumari | |||
| Father's Name | Roushan Gupta | |||
| Date of Birth * | 22-Sep-2009 | |||
| Gender | MALE | |||
| Enrollment No. | 2006 | |||
| Nationality | INDIAN | |||
| Present Address | village -kamarganj, post -jahangira, ps- sultanganj, dist - bhagalpur, bihar ,813213 | |||
| Mobile No. | 9263466973 | |||
| Email Address | sumit.krgupta9263@gmail.com | |||
Course Details |
||||
| Course Name /Code | Advance Diploma in Computer Application (ADCA) | |||
| Course Duration | 12 Months | |||
Center Details |
||||
| Center Code | 91104105 | |||
| Center Name | Lord Buddha Computer Institute | |||
| Center Address | Sultanganj | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||