Application Form

Name of Candidate Ashish Kumar
911012480545

Student Photo Not Available
Mother's Name Meena Devi
Father's Name Gulab Yadav
Date of Birth * 25-Mar-1996
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Kamalchak, post-roshanpur, thana-ishipur, kamalchak, bhagalpur, bihar- 813216
Mobile No. 9835234773
Email Address

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