Apprise Institute of Computing
Hari Mohan Gali, Salempur Chapra 841301
Kumar Bhwan, Umanagr Chapra 841301
9431426600 | ask@offerplant.com | https://apprise.morg.in/apprise/
Application Form
Registration No.
FB0003/00018
Name of Candidate
SHAAZ SAJID MALIK
photo shaaz.JPG
Mother's Name
ARMANA KHATOON
Father's Name
MD SAJID ALAM
Date of Birth
30-11--000
1
Mobile No. :
7766090072
Gender :
MALE
Nationality :
Address
VILL-BADI TALAB PAKRIBARAWAN, PO- P
AKRIBARAWAN, PS- PAKRIBARAWAN,NAWAD
A,BIHAR-805124
Pincode. :
Date of Admission
01-01-1970
Email Address
Course Details
Course Name
Diploma in Computer Application
Course Code
DCA
Course Duration
6 Months
Center Details
Center Name
Quantum Computer Academy
Center Code
FB0003
Center Address
Pakri Barawan, Adilabad
Decleration

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

Place: _______________

Date : 12/Oct/2023 01:39 AM

Authorized Signatory