|
||||
Application Form | ||||
| Name of Candidate | Manish Kumar |
911020350016 
|
||
| Mother's Name | Anita Devi | |||
| Father's Name | Shyam Yadav | |||
| Date of Birth * | 05-Feb-2001 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Manish Kumar, S O - Shyam Yadav, At - Gopalpur, P.O. - Abhyuday Ashram P.S- Amarpur, Dist. - Banka, State - Bihar, Pin No.- 813101 | |||
| Mobile No. | 8862970951 | |||
| Email Address | manishkumargopalpur76@gmail.com | |||
Course Details |
||||
| Course Name /Code | Diploma in Computer Application (DCA) | |||
| Course Duration | 6 Months | |||
Center Details |
||||
| Center Code | 91102035 | |||
| Center Name | Evergreen Computer Institute | |||
| Center Address | Amarpur | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||