Shivani Kumari -250800018

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 : Shivani Kumari
Reg. No. 250800018

Student Photo Not Available
Mother's Name : Sima Devi
Father's Name : Pradeep Sharma
Date of Birth * : 03-May-2006
Gender : MALE
Nationality : INDIAN
Present Address : AT- Husanabad road, modinagar, manikpur, bhagalpur
Mobile No. : 9470759444
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: , Bhagalpur
Date : 25-Aug-2025

Signature of Student

Center Details

Center Code : BR99060101

Verified By
Center Name : Maa Sharda Computer Training Center
Center Address : Mohaddinagar (kamalanagar colony ), Bhagalpur, Pin Code -: 812005 , (Bhagalpur)
ID Proof
Educational Proof