|
||||
Application Form | ||||
| Name of Candidate | Vikash Kumar |
911031340015 
|
||
| Mother's Name | Sunaina Devi | |||
| Father's Name | Rajendra Prasad | |||
| Date of Birth * | 14-Aug-2002 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Nanouk,bijubigha,buniyadang,gaya,bihar, Pin-823003 | |||
| Mobile No. | 6207453356 | |||
| Email Address | punajsmith@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 |
|||
|
| ||||