Application Form

Name of Candidate Suraj Kumar
911031340276

Student Photo Not Available
Mother's Name Malti Devi
Father's Name Karu Ravidas
Date of Birth * 15-Mar-1998
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Vill.bijubigha .po.bijubigha ps.buniyadganj dist gaya state bihar
Mobile No. 6200203010
Email Address sumanchouhan1581993@gmail.com

Course Details

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

Center Details

Center Code 91103134
Center Name Computer Training Institute MAX
Center Address SadiPur,Manpur
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory