|
||||
Application Form | ||||
| Name of Candidate | Gaurav Kumar Gambhir |
911041780859 
|
||
| Mother's Name | Suprabha Bharti | |||
| Father's Name | Surendra Mandal | |||
| Date of Birth * | 09-Aug-2004 | |||
| Gender | MALE | |||
| Enrollment No. | Bgp/25/12/adca/203/16 | |||
| Nationality | INDIAN | |||
| Present Address | Nasratkhani, chhajupur nathnagar champanagar Bhagalpur Bihar 812004 | |||
| Mobile No. | 8252557581 | |||
| Email Address | gauravgambhir8252@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 |
|||
|
| ||||