info@icaedu.in| https://icaedu.co.in/
|
||||
Application Form | ||||
| Name of Candidate | Chandan Kumar Ram |
911028120039 
|
||
| Mother's Name | Kamla Devi | |||
| Father's Name | Lalman Ram | |||
| Date of Birth * | 07-Jan-1993 | |||
| Gender | MALE | |||
| Nationality | INDIAN | |||
| Present Address | Village. Narayanpur. Post Mirganj. District. Gopalganj 841438 | |||
| Mobile No. | 7296069354 | |||
| Email Address | ||||
Course Details |
||||
| Course Name /Code | Advance Diploma in Computer Application (ADCA) | |||
| Course Duration | 12 Months | |||
Center Details |
||||
| Center Code | 91102812 | |||
| Center Name | Soft Tech Computer Centre | |||
| Center Address | Lachwar (Mirganj) | |||
| Date of Admisison | 14-Apr-2021 | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
 Authorized Signatory |
|||