Application Form

Name of Candidate Md Afroj Alam
911084580019

Student Photo Not Available
Mother's Name Ashma Khatoon
Father's Name Chandmohammad Miyan
Date of Birth * 05-Jul-2003
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address at-upadhayaa Tola, ward no-10, po +ps- kumarbagh dist-east champaran bihar-845450
Mobile No. 9142450256
Email Address tejas1987cybercafe@gmail.com

Course Details

Course Name /Code Computer Typing (Computer Typing)
Course Duration 3 Months

Center Details

Center Code 91108458
Center Name Tejas Computer Education
Center Address Chauradano
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory