Piyush Kumar -123456110319

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 : Piyush Kumar
Reg. No. 123456110319

Student Photo Not Available
Mother's Name : Deventi Devi
Father's Name : Dharmendra Singh
Date of Birth * : 07-Jul-2009
Gender : MALE
Nationality : INDIAN
Present Address : vill hichhapur madhopr konch madhopur gaya bihar 824236
Mobile No. : 9762463053
Email Address : piyushsingh05046@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 : 05-Apr-2025

Signature of Student

Center Details

Center Code : 12345611

Verified By
Center Name : COMPUTER ACADEMY
Center Address : NANDAN BIGHA,TEKARI,GAYA,BIHAR, (Gaya)
ID Proof
Educational Proof