Dhananjay Kumar-FB0002/00512

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 : Dhananjay Kumar
Reg. No. FB0002/00512

Student Photo Not Available
Mother's Name : Manju Devi
Father's Name : Shankar Prasad
Date of Birth * : 25-Jul-2001
Gender : MALE
Nationality : INDIAN
Present Address : VILL-MOHIUDDINPUR PO-TEENA P.S- NAGAR NAUSA 801305
Mobile No. : 7643038270
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 : Sorry No Attachment
Decleration

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

Place: BIND, Nalanda
Date : 03-Mar-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