|
||||
Application Form | ||||
Name of Candidate | Pranjal Chutia |
911822010207 |
||
Mother's Name | Rijumoni Chutia | |||
Father's Name | Anil Chutia | |||
Date of Birth * | 22-Feb-1998 | |||
Gender | MALE | |||
Nationality | INDIAN | |||
Present Address | SISSIBORGAON SILAPATHAR DIST - DHEMAJI 787059 | |||
Mobile No. | 8945267410 | |||
Email Address | ||||
Course Details |
||||
Course Name /Code | Advance Diploma in Computer Application (ADCA) | |||
Course Duration | 12 Months | |||
Center Details |
||||
Center Code | 91182201 | |||
Center Name | Silapathar Computer Education Center | |||
Center Address | Silapathar | |||
Date of Admisison | 25-Jun-2019 | |||
Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
Place: _______________ Date : _______________ |
Authorized Signatory |