Pankaj Kumar Sharma-123456100076

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 : Pankaj Kumar Sharma
Reg. No. 123456100076

Student Photo Not Available
Mother's Name : Poonam Devi
Father's Name : Garib Nath Sharma
Date of Birth * : 08-May-2005
Gender : MALE
Nationality : INDIAN
Present Address : WARD-NO 10, GORHI POKHAR, PAURA MADAN SINGH, VAISHALI BIHAR,844117
Mobile No. : 7061954490
Email Address : ps625017@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: , Vaishali
Date : 22-Aug-2024

Signature of Student

Center Details

Center Code : 12345610

Verified By
Center Name : SMRITI COMPUTER ACADEMY
Center Address : SARAI VAISHALI BIHAR 844125, (Vaishali)
ID Proof
Educational Proof