Application Form

Name of Candidate Bharat Kumar
911041392665

Student Photo Not Available
Mother's Name Phulan Devi
Father's Name Mahendra Mahto
Date of Birth * 31-Dec-1999
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Shivnagar herudiyara munger Bihar 811202
Mobile No. 8210457544
Email Address

Course Details

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

Center Details

Center Code 91104139
Center Name Lord Buddha Computer Training Centre
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