Application Form

Name of Candidate Rajkishor Pawan
911012480641

Student Photo Not Available
Mother's Name Anita Devi
Father's Name Suresh Paswan
Date of Birth * 15-Jul-1998
Gender MALE
Enrollment No. 0641
Nationality INDIAN
Present Address seth kothi, jinagora, Suranga, PO:Khasjeena Gora, DIST:Dhanbad, Jharkhand, 828115
Mobile No. 7004027651
Email Address Chandankth03@gmail.com

Course Details

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

Center Details

Center Code 91101248
Center Name Drishti Computer Institute
Center Address Quamruddin Ganj,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