Kumar Shivam -123456090006

A division of
AKHARI KOSHISH FOUNDATION
Regd. Under Companies Act | Ministry of Corporates Affairs Govt of India
Regd Office : JHANDACHOWK, BARBIGHA, SHEIKHPURA BR 811101
Application Form

Student Details

Name of Candidate : Kumar Shivam
Reg. No. 123456090006

Student Photo Not Available
Mother's Name : Rita Devi
Father's Name : Satyendra Kumar
Date of Birth * : 25-Sep-1994
Gender : MALE
Nationality : INDIAN
Present Address : S/O - SATYENDRA KUMAR, PEAREPUR (NALANDA) bihar 803115
Mobile No. : 8618376788
Email Address : kumarshivam1250@gmail.com

Course Details

Course Name /Code : ADVANCE DIPLOMA IN COMPUTER APPLICATION (ADCA)
Course Duration : 12 Months

Attached Document

Identity Proof : Download
Educational Certificate : Download
Decleration

I hereby declared that all the informations are correct and true to the best of my knowledge and belief.

Place: , Gaya
Date : 01-Feb-2023

Signature of Student

Center Details

Center Code : 12345609

Verified By
Center Name : JS COMPUTER ACADEMY
Center Address : WAZIRGANJ GAYA BIHAR , (Gaya)
ID Proof
Educational Proof