Application Form

Name of Candidate Prince Raj
911041181401

Student Photo Not Available
Mother's Name Ashibka Devi
Father's Name Wakil Prasad Sah
Date of Birth * 12-Dec-2000
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Gurhatta chowk kazichak panna mill Road bhagalpur
Mobile No. 9060193586
Email Address

Course Details

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

Center Details

Center Code 91104118
Center Name Sterliate Training Institute
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