Pratyush Prashant -123456180009

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 : Pratyush Prashant
Reg. No. 123456180009

Student Photo Not Available
Mother's Name : Radha Rani
Father's Name : Bani Bhushan Pandey
Date of Birth * : 15-Aug-2000
Gender : MALE
Nationality : INDIAN
Present Address : NATIONAL INSURANCE COLONY PATNA 800026
Mobile No. : 7991124821
Email Address : prashantpandey9386@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-Oct-2022

Signature of Student

Center Details

Center Code : 12345618

Verified By
Center Name : INDIAN INSTITUTE
Center Address : BHADEJA MANPUR GAYA BIHAR 823003, (Gaya)
ID Proof
Educational Proof