Md Imran-123456100087

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 : Md Imran
Reg. No. 123456100087

Student Photo Not Available
Mother's Name : Sakila Khatoon
Father's Name : Md Qurwan
Date of Birth * : 05-Mar-1993
Gender : MALE
Nationality : INDIAN
Present Address : alipur sumerganj salempur dumaria vaishali bihar 844122
Mobile No. : 7654176107
Email Address : altamashraza268@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 : 02-Jan-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