|
||||
Application Form | ||||
| Name of Candidate | Uttam Kumar |
911045621126 
|
||
| Mother's Name | Rekha Kumari | |||
| Father's Name | Sunil Kumar | |||
| Date of Birth * | 10-Jan-2001 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | VILL GAGARI PO GAGARI PS SHEIKHPURA DIST SHEIKHPURA PIN CODE 811304 | |||
| Mobile No. | 9113712553 | |||
| Email Address | uttamk1190@gmail.com | |||
Course Details |
||||
| Course Name /Code | Certificate In Computer Typing (CT) | |||
| Course Duration | 6 Months | |||
Center Details |
||||
| Center Code | 91104562 | |||
| Center Name | ICT COMPUTER EDUCATION | |||
| Center Address | Aliganj | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||