Application Form

Name of Candidate Rajnish Kumar
911041182501

Student Photo Not Available
Mother's Name Shanti Devi
Father's Name Ayodhya Mandal
Date of Birth * 12-Oct-1995
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Kamarganj jahangira sultanganj bhagalpur bihar 813213
Mobile No. 6205542644
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