Suraj Kumar-910401011099

A division of
WIZARD-TECH COMPUTER ACADEMY PRIVATE LIMITED
Regd. Under Companies Act | Ministry of Corporates Affairs Govt of India
Regd Office : Salempur, Lah Bazar, Chapra - 841301
Application Form

Student Details

Name of Candidate : Suraj Kumar
Reg. No. 910401011099

Student Photo Not Available
Mother's Name :
Father's Name : Satyanarayan Poddar
Date of Birth * : 25-Aug-1993
Gender : Male
Nationality : INDIAN
Present Address :
Mobile No. :
Email Address :

Course Details

Course Name /Code : Advanced Diploma in Computer Application (ADCA)
Course Duration : 1 Days

Attached Document

Identity Proof : Sorry No Attachment
Educational Certificate : Sorry No Attachment
Decleration

I hereby declared that all the informations are correct and true to the best of my knowledge and belief.

Place: Katihar,
Date : 01-Jan-1970

Signature of Student

Center Details

Center Code : 91040101

Verified By
Center Name : A.B. Infotech
Center Address : Mirchaibari, Katihar, Bihar - 854105, Katihar ()
ID Proof
Educational Proof