|
||||
Application Form | ||||
| Name of Candidate | Shivam Kumar |
911078460180 
|
||
| Mother's Name | Indira Devi | |||
| Father's Name | Murari Chaudhary | |||
| Date of Birth * | 28-Nov-2005 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | AT-SARAHI WARD NO.9,SAHARSA | |||
| Mobile No. | 6287319337 | |||
| Email Address | sushantsamchoudhary@gmail.com | |||
Course Details |
||||
| Course Name /Code | Certificate In Computer Typing (CT) | |||
| Course Duration | 6 Months | |||
Center Details |
||||
| Center Code | 91107846 | |||
| Center Name | Tejas Computer Institute | |||
| Center Address | Parwiniya ,Sonbarsa Kachari Road | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||