Application Form

Name of Candidate Saroj Kumar
911041140078

Student Photo Not Available
Mother's Name Mala Devi
Father's Name Mahesh Yadav
Date of Birth * 02-Apr-1998
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address AT- MAMLAKHA, BHAGALPUR, BIHAR, 813210
Mobile No. 9953650691
Email Address

Course Details

Course Name /Code Data Entry Operator (DEO)
Course Duration 3 Months

Center Details

Center Code 91104114
Center Name CTI
Center Address NH-80, Opp.Tata Motors, Sabour
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory