Application Form

Name of Candidate Rajiv Kumar
911041392912

Student Photo Not Available
Mother's Name Mina Devi
Father's Name Ashok Paswan
Date of Birth * 25-Dec-1988
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address At-jawaripur jail road Tilkamanjhi, Bhagalpur, Bihar,812001
Mobile No. 9341351283
Email Address

Course Details

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

Center Details

Center Code 91104139
Center Name Lord Buddha Computer Training 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