Wizard Tech Computer Academy Pvt. ltd.Lah Bazar Salempur, Chapra, Bihar 8413019572095268 | info@wtca.co.in | https://lms.wtca.co.in/ |
||||
Application Form | ||||
Name of Candidate |
|
|||
Mother's Name | ||||
Father's Name | ||||
Date of Birth * | 01-Jan-1970 | |||
Gender | ||||
Nationality | INDIAN | |||
Present Address | ||||
Mobile No. | ||||
Email Address | ||||
Course Details |
||||
Course Name /Code | () | |||
Course Duration | ||||
Center Details |
||||
Center Code | ||||
Center Name | ||||
Center Address | ||||
Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|