|
||||
Application Form | ||||
| Name of Candidate | Piyush Kumar |
911052220368 
|
||
| Mother's Name | Usha Devi | |||
| Father's Name | Hiralal Sarvjanik | |||
| Date of Birth * | 17-Jul-1995 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | S/O Hiralal, sarvjanik, Panchmandir, Motihari East Champaran Bihar 845401 | |||
| Mobile No. | 7004189473 | |||
| Email Address | Piyush.golu.kumar.143@gmil.com | |||
Course Details |
||||
| Course Name /Code | Certificate In Computer Typing (CT) | |||
| Course Duration | 6 Months | |||
Center Details |
||||
| Center Code | 91105222 | |||
| Center Name | PDS Computer Education | |||
| Center Address | Motihari | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||