Gareth Carrillo-

A division of
NCC COMPUTERS
Regd. Under Companies Act | Ministry of Corporates Affairs Govt of India
Regd Office : New Core Center Computers Pvt. Ltd.(NCC) Mauna Pakri, Near gandhi chowk Main road chhapra, 841301
Application Form

Student Details

Name of Candidate : Gareth Carrillo
Reg. No.

Student Photo Not Available
Mother's Name : Esse Dolorem Reicien
Father's Name : Culpa Ut Pariatur O
Date of Birth * : 21-Jan-1983
Gender : male
Nationality : INDIAN
Present Address : Quia et aperiam maio
Mobile No. : 49
Email Address : qasuvyjem@mailinator.com

Course Details

Course Name /Code : Diploma in Computer Application (DCA)
Course Duration : 6 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: , Saran
Date : 01-Jan-1970

Signature of Student

Center Details

Center Code : NCC01

Verified By
Center Name : NCC SKILLS EDUCATION
Center Address : Muna pakri Sandha Chapra, (Saran)
ID Proof
Educational Proof