Samiksha Shrivastava-970807058082

A division of
FIIT SKILLS DEVELOPEMENT AMD TECHNO FOUNDATION
Regd. Under Companies Act | Ministry of Corporates Affairs Govt of India
Regd Office : 406 4th Floor, Raut Arcade,
Application Form

Student Details

Name of Candidate : Samiksha Shrivastava
Reg. No. 970807058082

Student Photo Not Available
Mother's Name : Rekha Kumari
Father's Name : Shishir Kumar Shrivastava
Date of Birth * : 09-May-2008
Gender : FEMALE
Nationality : INDIAN
Present Address : bishunpura jalalpur
Mobile No. : 6207229701
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: , Saran
Date : 11-Jul-2025

Signature of Student

Center Details

Center Code : 97080705

Verified By
Center Name : FIIT SKILL DEVELOPMENT AND TECHNO FOUNDATION,EKMA
Center Address : LIC Office,Tajpur Road,Ekma, Saran-841208, (Saran)
ID Proof
Educational Proof