|
||||
Application Form | ||||
| Name of Candidate | Pradeep Kumar Sah |
911041020585 
|
||
| Mother's Name | Shyama Devi | |||
| Father's Name | Shankar Prasad Sah | |||
| Date of Birth * | 21-Nov-1991 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | bhagalpur | |||
| Mobile No. | 8210178006 | |||
| Email Address | PradeepKumarSah8@gmail.com | |||
Course Details |
||||
| Course Name /Code | AC Technician (ACT ) | |||
| Course Duration | 4 Months | |||
Center Details |
||||
| Center Code | 91104102 | |||
| Center Name | Sterliate Training Institute | |||
| Center Address | Khanjarpur | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||