Application Form

Name of Candidate Rishabh Kumar
911041160532

Student Photo Not Available
Mother's Name Soni Devi
Father's Name Shashikant Mishra
Date of Birth * 15-Jan-2003
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address At + po - kharahara, ps- BARAHAT Dist - banka Pin- 813103
Mobile No. 8862970719
Email Address

Course Details

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

Center Details

Center Code 91104116
Center Name Lord Buddha Educational Centre
Center Address Sarai
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory