Application Form

Name of Candidate Azad Kumar
911012480472

Student Photo Not Available
Mother's Name Mamta Devi
Father's Name Satyanand Kumar
Date of Birth * 12-Oct-2001
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Village- Chhoti Chhariyari Khurd, Tharthari, Asta, Nalanda Bihar, 803120
Mobile No. 9508138689
Email Address azadbhumi45@gmail.com

Course Details

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

Center Details

Center Code 91101248
Center Name Drishti Computer Institute
Center Address Quamruddin Ganj,Bihar Sharif
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory