Application Form

Name of Candidate Ankush Kumar
911041051519

Student Photo Not Available
Mother's Name Nitu Devi
Father's Name Indu Mandal
Date of Birth * 08-Aug-2003
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address At + Post - katahara, ps - Sultanganj, Dist- Bhagalpur Bihar 813213
Mobile No. 8750525160
Email Address childcome4553@gmail.com

Course Details

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

Center Details

Center Code 91104105
Center Name Lord Buddha Computer Institute
Center Address Sultanganj
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory