|
||||
Application Form | ||||
| Name of Candidate | Ashutosh Raj |
911041570752 
|
||
| Mother's Name | Sabita Devi | |||
| Father's Name | Arvind Rajak | |||
| Date of Birth * | 05-Jan-1996 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Vill - telghi, Post - telghi, ward no - 04 p.S - kharik bazar telghi bhagalpur Bihar - 853202 | |||
| Mobile No. | 7808726421 | |||
| Email Address | arajlove421@gmail.com | |||
Course Details |
||||
| Course Name /Code | Certificate In Computer Typing (CT) | |||
| Course Duration | 6 Months | |||
Center Details |
||||
| Center Code | 91104157 | |||
| Center Name | Vivek Computer Classes | |||
| Center Address | Barari,Near ITI College | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||