Application Form

Name of Candidate Sanjay Kumar
911045621078

Student Photo Not Available
Mother's Name Karuna Devi
Father's Name Dayanand Mishra
Date of Birth * 31-Dec-1996
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address vill Aliganj po Aliganj ps chandradeep dist jamui pin code 811301
Mobile No. 9504926066
Email Address sanjay1231996kumar@gmail.com

Course Details

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

Center Details

Center Code 91104562
Center Name ICT COMPUTER EDUCATION
Center Address Aliganj
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory