Application Form

Name of Candidate Prashant Pravir
911041260110

Student Photo Not Available
Mother's Name Renu Devi
Father's Name Rajeev Ranjan
Date of Birth * 20-Dec-1990
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address bhagalpur
Mobile No. 8409875396
Email Address prashantpravir@gmail.com

Course Details

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

Center Details

Center Code 91104126
Center Name Sterliate Training Institute
Center Address Laluchak
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory