Application Form

Name of Candidate Rahish Kumar
911012070121

Student Photo Not Available
Mother's Name Mina Devi
Father's Name Shyamsundar Yadav
Date of Birth * 03-Feb-2003
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address VILL BHADWA PO ITASANG PS RAHUI NALADA 803119
Mobile No. 7261083858
Email Address RAHISHKUMAR726108@GMAIL.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