|
||||
Application Form | ||||
| Name of Candidate | Ankit Raj |
911012740031 
|
||
| Mother's Name | Rinku Devi | |||
| Father's Name | Madan Mohan Lal | |||
| Date of Birth * | 05-Oct-2003 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | C/O-MADAN MOHAN LAL,VILL-MAHANANDPUR,PANHESA,SHEIKHPURA,BIHAR,811103 | |||
| Mobile No. | 8002883115 | |||
| Email Address | ||||
Course Details |
||||
| Course Name /Code | Certificate In Computer Typing (CT) | |||
| Course Duration | 6 Months | |||
Center Details |
||||
| Center Code | 91101274 | |||
| Center Name | Drishti Computer Institute | |||
| Center Address | Naisarai, 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 |
|||
|
| ||||