Application Form

Name of Candidate Md Kamran
911041030146

Student Photo Not Available
Mother's Name Kishwari Khatoon
Father's Name Md Anish
Date of Birth * 11-Nov-1993
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address AT-CHHHOTI HAT KALALI CHOWK, PO-SABOUR, PS-SABOUR, DIST-BHAGALPUR, BIHAR 813210
Mobile No. 8709465705
Email Address mdkamran59raza@gmail.com

Course Details

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

Center Details

Center Code 91104103
Center Name Sterliate Training Institute
Center Address 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