Application Form

Name of Candidate Bikrant Bharti
911045621034

Student Photo Not Available
Mother's Name Chameli Devi
Father's Name Krishndev Prasad
Date of Birth * 10-Jun-1997
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address VILL DARKHA PO DARKHA PS SIKANDRA DIST JAMUI PIN CODE 811301
Mobile No. 7070903622
Email Address kumarbikrant296@gmail.com

Course Details

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

Center Details

Center Code 91104562
Center Name ICT COMPUTER EDUCATION
Center Address Aliganj
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory