info@icaedu.in| https://icaedu.co.in/
|
||||
Application Form | ||||
| Name of Candidate | Kyamuddin Ansari |
911028100421 
|
||
| Mother's Name | Alsha Begam | |||
| Father's Name | Md Rajjak Ansari | |||
| Date of Birth * | 02-Feb-2000 | |||
| Gender | MALE | |||
| Nationality | INDIAN | |||
| Present Address | NEHARUWA KALA. POST.BHATHAWA BAZAR.PS.KATEYA .GOPALGANJ | |||
| Mobile No. | 7004761144 | |||
| Email Address | ||||
Course Details |
||||
| Course Name /Code | Advance Diploma in Computer Application (ADCA) | |||
| Course Duration | 12 Months | |||
Center Details |
||||
| Center Code | 91102810 | |||
| Center Name | Soft Tech Computer Training Centre | |||
| Center Address | Bathua Bazar | |||
| Date of Admisison | 23-Jun-2022 | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
 Authorized Signatory |
|||