Amit Chaurasiya-261000002

A division of
RSSITF
Regd. Under Companies Act | Ministry of Corporates Affairs Govt of India
Regd Office : Chapra, Saran, Bihar - 841301
Application Form

Student Details

Name of Candidate : Amit Chaurasiya
Reg. No. 261000002

Student Photo Not Available
Mother's Name : Lalita Devi
Father's Name : Kali Prasad Chaurasiya
Date of Birth * : 18-Jul-2008
Gender : MALE
Nationality : INDIAN
Present Address :
Mobile No. : 9616902632
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: , Azamgarh
Date : 05-Oct-2026

Signature of Student

Center Details

Center Code : UP99310807

Verified By
Center Name : COMPUTER WORLD A LEARNING INSTITUE
Center Address : SHERWA, BURHANPUR, AZAMGARH, U.P. - 276141, (Azamgarh)
ID Proof
Educational Proof