Application Form

Name of Candidate Abhinav Kumar
911041570304

Student Photo Not Available
Mother's Name Kunti Devi
Father's Name Ashok Paswan
Date of Birth * 18-Mar-2003
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Ward no -1 daudbat, Near middle school post- shahjadpur shazadpur bhagalpur Bihar -812005
Mobile No. 7491901839
Email Address sahrajver1@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