|
||||
Application Form | ||||
| Name of Candidate | Shivam Kumar |
911041181448 
|
||
| Mother's Name | Beena Devi | |||
| Father's Name | Manoj Kumar Roy | |||
| Date of Birth * | 08-May-1996 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | At-Roytola po-banhara ps-gangta munger bihar 811213 | |||
| Mobile No. | 6206665654 | |||
| Email Address | shivamkumar.nec2@gmail.com | |||
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 |
|||
|
| ||||