Application Form

Name of Candidate Gautam Kumar
911012070106

Student Photo Not Available
Mother's Name Ajanti Devi
Father's Name Ramhari Paswan
Date of Birth * 28-Oct-2001
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address VILL KAIHRAHI PS KAIHRAHI PS BIND DIST NALANDA BIHAR
Mobile No. 8051616310
Email Address gautamkumar8051616310@gamil.com

Course Details

Course Name /Code Advance Diploma in Computer Application (ADCA)
Course Duration 12 Months

Center Details

Center Code 91101207
Center Name Institute of Computer Technology
Center Address Garh Par,Bihar Sharif-803101
Decleration

I hereby declared that all the informations are correct and true to the best of my knowledge and belief.

Place: _______________

Date : _______________
Authorized Signatory