Application Form

Name of Candidate Udit Kumar
911012480280

Student Photo Not Available
Mother's Name Rita Devi
Father's Name Ram Shankar Prasad
Date of Birth * 22-Jul-2005
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address gram-kajpura, post-chhota shekhpura, Qazipura, Nawada Bihar -805103 925670057735 1OAY www
Mobile No. 9570726009
Email Address udit78088@gmail.com

Course Details

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

Center Details

Center Code 91101248
Center Name Drishti Computer Institute
Center Address Quamruddin Ganj,Bihar Sharif
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory