Amar Patel -2106102523

A division of
FASTBLOOM COMPUTER ACADEMY
Regd. Under Companies Act | Ministry of Corporates Affairs Govt of India
Regd Office : Professor Colony, Near Nalanda Collegiate, Biharsharif Nalanda-803101, Bihar India
Application Form

Student Details

Name of Candidate : Amar Patel
Reg. No. 2106102523

Student Photo Not Available
Mother's Name : Sunila Devi
Father's Name : Dularchand Prasad
Date of Birth * : 09-Jun-1998
Gender : MALE
Nationality : INDIAN
Present Address : VILL:-KUNDI
Mobile No. : 9708806704
Email Address :

Course Details

Course Name /Code : Advance Diploma in Computer Application (ADCA)
Course Duration : 12 Months

Attached Document

Identity Proof : Sorry No Attachment
Educational Certificate : Download
Decleration

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

Place: BIND, Nalanda
Date : 10-Jun-2021

Signature of Student

Center Details

Center Code : FB0002

Verified By
Center Name : SHREE GANESH COMPUTER CENTER
Center Address : Dekulighat, Khandakpar, BIHAR SHARIF-803101, BIND (Nalanda)
ID Proof
Educational Proof