Application Form

Name of Candidate Supriya Kumari
911041052013

Student Photo Not Available
Mother's Name Kiran Devi
Father's Name Shyam Jee Shyam
Date of Birth * 11-Aug-2007
Gender FEMALE
Enrollment No. ADCA/52/12
Nationality INDIAN
Present Address AT- BELTHU, POST - HARPUR, PS - SHAHKUND, BHAGALPUR, BIHAR, 813108
Mobile No. 9204308169
Email Address supriyakumari4142@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