Rajvallabh-123456170006

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 : Rajvallabh
Reg. No. 123456170006

Student Photo Not Available
Mother's Name : Sinhata Devi
Father's Name : Mahendra
Date of Birth * : 01-Jan-2000
Gender : MALE
Nationality : INDIAN
Present Address : Gram Pandyakhedi maxi road , VTC - Ujjain , PO- Ujjain M.L.Nagar , Disct- Ujjain , Madhya Pradesh Pin- 456010
Mobile No. : 6264400311
Email Address : rajkumarmehta714@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: , Nalanda
Date : 17-Mar-2023

Signature of Student

Center Details

Center Code : 12345617

Verified By
Center Name : SUCCESS IT COMPUTER INSTITUTE
Center Address : NALA ROAD NEAR PANKI TANKI BIHAR SHARIF NALANDA BIHAR 803101, (Nalanda)
ID Proof
Educational Proof