|
||||
Application Form | ||||
Name of Candidate | Naveen Prakash |
911004012490 |
||
Mother's Name | Baby Devi | |||
Father's Name | Mahesh Kumar Rai | |||
Date of Birth * | 21-Aug-2004 | |||
Gender | MALE | |||
Nationality | INDIAN | |||
Present Address | Puchhri Bazar, Saran | |||
Mobile No. | 6202145833 | |||
Email Address | ||||
Course Details |
||||
Course Name /Code | Advance Diploma in Computer Application (ADCA) | |||
Course Duration | 12 Months | |||
Center Details |
||||
Center Code | 91100401 | |||
Center Name | Quantum Computer Academy | |||
Center Address | Salempur, Chapra | |||
Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
Place: _______________ Date : _______________ |
Authorized Signatory |