Application Form

Name of Candidate Ram Singh
910915310001

Student Photo Not Available
Mother's Name Ram Rati
Father's Name Ram Dulare
Date of Birth * 07-Oct-1994
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address VILL BHOLAIYA KHERA POST BIJEMAU SARENI RAEBARELI 229201
Mobile No. 9721665268
Email Address rajputcsc1994@gmail.com

Course Details

Course Name /Code Diploma in Computer Application (DCA)
Course Duration 6 Months

Center Details

Center Code 91091531
Center Name R.R Computer Centre
Center Address At-Bholaiya Khera,Bijemau Sareni,lalganj-229201
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory