|
||||
Application Form | ||||
| Name of Candidate | Pawan Kumar |
911041590484 
|
||
| Mother's Name | Anjulata Devi | |||
| Father's Name | Shivnarayan Singh | |||
| Date of Birth * | 21-Feb-2000 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Pani kamla ambabad katihar bihar 854112 | |||
| Mobile No. | 9835415707 | |||
| Email Address | ||||
Course Details |
||||
| Course Name /Code | Certificate In Computer Typing (CT) | |||
| Course Duration | 6 Months | |||
Center Details |
||||
| Center Code | 91104159 | |||
| Center Name | Lord Buddha Educational Centre | |||
| 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 |
|||
|
| ||||