Application Form

Name of Candidate Praveen Kumar
911041050076

Student Photo Not Available
Mother's Name Vrinda Devi
Father's Name Shyam Sharma
Date of Birth * 16-Oct-1998
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Jhikuliya Belhar banka
Mobile No. 7762890120
Email Address praveenkumarjhikuliya@gmail.com

Course Details

Course Name /Code Advance Diploma in Computer Application (ADCA)
Course Duration 12 Months

Center Details

Center Code 91104105
Center Name Lord Buddha Computer Institute
Center Address Sultanganj
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory