Application Form

Name of Candidate Rishu Kumar
911031340010

Student Photo Not Available
Mother's Name Kanchan Devi
Father's Name Binod Kumar
Date of Birth * 14-Feb-2002
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Bishunpur,wazirganj,gaya,bihar 805131
Mobile No. 9304628491
Email Address rishusingh27423@gmail.com

Course Details

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

Center Details

Center Code 91103134
Center Name Computer Training Institute MAX
Center Address SadiPur,Manpur
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory