|
||||
Application Form | ||||
| Name of Candidate | Dharmendra Kumar |
911041570326 
|
||
| Mother's Name | Asha Devi | |||
| Father's Name | Nandkishor Das | |||
| Date of Birth * | 22-Mar-1999 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Ward no - 15 GRAM - KORCHAKKA post- dharmpurratti bihpur bhagalpur Bihar - 853201 | |||
| Mobile No. | 9855181464 | |||
| Email Address | dharmender031999@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 |
|||
|
| ||||