JWALA GAUTAM-910217211800

A division of
Icon Computer of Education
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 : JWALA GAUTAM
Reg. No. 910217211800

Student Photo Not Available
Mother's Name : VIMLA DEVI
Father's Name : SANTOSH KUMAR SINGH
Date of Birth * : 05-Jul-1985
Gender : MALE
Nationality : INDIAN
Present Address : VILL+POST NAINI PS MUFFASIL DIST CHAPRA SARAN PIN 841316
Mobile No. : 7731813415
Email Address : jwalasingh98931@gmail.com

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: , Vaishali
Date : 01-Jan-1970

Signature of Student

Center Details

Center Code : 91021721

Verified By
Center Name : Matrix computer classes
Center Address : Apana Market ray nagar chowk dighi hajipur , (Vaishali)
ID Proof
Educational Proof