Application Form

Name of Candidate Amit Kumar Singh
911041050819

Student Photo Not Available
Mother's Name Rekha Devi
Father's Name Hari Kishor Singh
Date of Birth * 28-Jan-1988
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Dinesh Gupta Lane, Sultanganj, Bhagalpur Bihar , 813213
Mobile No. 9308982540
Email Address amithksingh28@gmail.com

Course Details

Course Name /Code Certificate In Computer Typing (CT)
Course Duration 6 Months

Center Details

Center Code 91104105
Center Name Lord Buddha Computer Institute
Center Address Sultanganj
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory