Application Form

Name of Candidate Amarjeet Singh
911041392104

Student Photo Not Available
Mother's Name Suman Devi
Father's Name Umesh Prasad Singh
Date of Birth * 15-Feb-1996
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address vill-mahamadpur po-jagatpur banka bihar 813103
Mobile No. 9931625984
Email Address

Course Details

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

Center Details

Center Code 91104139
Center Name Lord Buddha Computer Training Centre
Center Address Adampur
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory