|
||||
Application Form | ||||
Name of Candidate | Rajesh Bihari Srivastava |
911004010799 |
||
Mother's Name | Malti Devi | |||
Father's Name | Kedarnath Prasad | |||
Date of Birth * | 01-Aug-1973 | |||
Gender | MALE | |||
Nationality | INDIAN | |||
Present Address | Chapra | |||
Mobile No. | 9430905757 | |||
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 | |||
Date of Admisison | 10-Feb-2016 | |||
Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
Place: _______________ Date : _______________ |
Authorized Signatory |