|
||||
Application Form | ||||
| Name of Candidate | Punit Kumar Tiwary |
911041020388 
|
||
| Mother's Name | Rinku Tiwary | |||
| Father's Name | Bishnu Kant Tiwary | |||
| Date of Birth * | 27-Oct-1999 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Gobrain, bhagalpur, 812006 | |||
| Mobile No. | 8709468140 | |||
| Email Address | punittiwary7023@gmail.com | |||
Course Details |
||||
| Course Name /Code | Advance Diploma in Computer Application (ADCA) | |||
| Course Duration | 12 Months | |||
Center Details |
||||
| Center Code | 91104102 | |||
| Center Name | Sterliate Training Institute | |||
| Center Address | Khanjarpur | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||