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.
2209081659
Name of Candidate
Abc Kumar
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Mother's Name
Test Mother
Father's Name
Father
Date of Birth
01-10-2013
Mobile No. :
9431426600
Gender :
MALE
Nationality :
Address
HArimohan Gali
Pincode. :
Date of Admission
01-01-1970
Email Address
Course Details
Course Name
Advance Diploma in Computer Applica
tion
Course Code
ADCA
Course Duration
12 Months
Center Details
Center Name
FastBloom Computer Academy
Center Code
APP005
Center Address
harimohan Gali, Chapra, Saran
Decleration

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

Place: _______________

Date : 20/Oct/2023 12:28 PM

Authorized Signatory