Application Form

Name of Candidate Ravi Kumar
911029040306

Student Photo Not Available
Mother's Name Kiran Devi
Father's Name Subhash Chandra Sah
Date of Birth * 15-Apr-1999
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Saidpur,gopalpur,bhagalpur, bihar,
Mobile No. 7545091662
Email Address kumarravi5jee@gmail.com

Course Details

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

Center Details

Center Code 91102904
Center Name Computer Training Institute
Center Address Kahalgaon
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory