|
||||
Application Form | ||||
| Name of Candidate | Sourav Mandal |
911041570575 
|
||
| Mother's Name | Puspa Rani Mandal | |||
| Father's Name | Hriday Ranjan Mandal | |||
| Date of Birth * | 12-Jul-1993 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Village - moralay thana bindapathar geria jamtara jharkhand -815351 | |||
| Mobile No. | 9563708485 | |||
| Email Address | souravmandal295@gmail.com | |||
Course Details |
||||
| Course Name /Code | Certificate In Computer Typing (CT) | |||
| Course Duration | 6 Months | |||
Center Details |
||||
| Center Code | 91104157 | |||
| Center Name | Vivek Computer Classes | |||
| Center Address | Barari,Near ITI College | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||