|
||||
Application Form | ||||
| Name of Candidate | Dheeraj Kumar |
911063090142 
|
||
| Mother's Name | Juli Devi | |||
| Father's Name | Santosh Pandey | |||
| Date of Birth * | 21-Sep-2002 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Vill- Karisowa Po-Kari Ps-Wazirganj Pin code-805131 Dist- Gaya Bihar | |||
| Mobile No. | 6201795958 | |||
| Email Address | dheerajkumar620462@gmail.com | |||
Course Details |
||||
| Course Name /Code | Advance Diploma in Computer Application (ADCA) | |||
| Course Duration | 12 Months | |||
Center Details |
||||
| Center Code | 91106309 | |||
| Center Name | A Global Computer Academy | |||
| Center Address | Wazirganj | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||