Application Form

Name of Candidate Satyam Ghosh
911041182412

Student Photo Not Available
Mother's Name Chhavi Rani Ghosh
Father's Name Prahlad Chandra Ghosh
Date of Birth * 19-Jan-1993
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Ward no. 2 , ganeshi bag nurpur, nurpur bhagalpur bihar 812006
Mobile No. 9431261360
Email Address

Course Details

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

Center Details

Center Code 91104118
Center Name Sterliate Training Institute
Center Address Adampur
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory