Application Form

Name of Candidate Ankit Kumar
911029040774

Student Photo Not Available
Mother's Name Sheela Devi
Father's Name Shambhu Paswan
Date of Birth * 20-Apr-2001
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Beldiha, silhan, bhagalpur, silhan, bihar, Pin-813204
Mobile No. 7970756215
Email Address punajsmith@gmail.com

Course Details

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

Center Details

Center Code 91102904
Center Name Computer Training Institute
Center Address Kahalgaon
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory