Birendra Kumar -910217373493

A division of
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Regd. Under Companies Act | Ministry of Corporates Affairs Govt of India
Regd Office : Rajeev Nagar Road No. 24 Patna 800024
Application Form

Student Details

Name of Candidate : Birendra Kumar
Reg. No. 910217373493

Student Photo Not Available
Mother's Name : Somariya Devi
Father's Name : Ajit Yadav
Date of Birth * : 12-Feb-1999
Gender : MALE
Nationality : INDIAN
Present Address : Kinjer
Mobile No. : 8102438355
Email Address :

Course Details

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

Attached Document

Identity Proof : Sorry No Attachment
Educational Certificate : Sorry No Attachment
Decleration

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

Place: , Arwal
Date : 18-Jan-2020

Signature of Student

Center Details

Center Code : 91021737

Verified By
Center Name : LAL BAHADUR SHASTRI COMPUTER CENTER,
Center Address : Kurtha Road kinjer,, (Arwal)
ID Proof
Educational Proof