Application Form

Name of Candidate Prashant Kumar
911041570149

Student Photo Not Available
Mother's Name Aruna Devi
Father's Name Sikendar Sharma
Date of Birth * 10-Oct-1999
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Raipur, bhagalpur Bihar - 853203
Mobile No. 9709302983
Email Address prashantkumarraj2983@gmail.com

Course Details

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

Center Details

Center Code 91104157
Center Name Vivek Computer Classes
Center Address Barari,Near ITI College
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory