|
||||
Application Form | ||||
| Name of Candidate | Pritam Kumar |
911021110059 
|
||
| Mother's Name | Rani Devi | |||
| Father's Name | Dharo Ray | |||
| Date of Birth * | 16-Jan-2003 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | VILLAGE-JAPTELI, POST-JAGATPUR, P.S-PARBATTA, VAYA-NAUGACHIA , DIST-BHAGALPUR ,PIN COD-853204, | |||
| Mobile No. | 7009435982 | |||
| Email Address | Pritamkumar70094@gmail.com | |||
Course Details |
||||
| Course Name /Code | Advance Diploma in Computer Application (ADCA) | |||
| Course Duration | 12 Months | |||
Center Details |
||||
| Center Code | 91102111 | |||
| Center Name | Aditya Institute of Information Technology | |||
| Center Address | kharik | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||