|
||||
Application Form | ||||
| Name of Candidate | Kumar Suraj |
911041700073 
|
||
| Mother's Name | Poonam Devi | |||
| Father's Name | Rajendra Sharma | |||
| Date of Birth * | 03-Apr-2002 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Fatehpur, JAGDISHPUR, BHAGALPUR, Bihar-813105 | |||
| Mobile No. | 8877548055 | |||
| Email Address | ||||
Course Details |
||||
| Course Name /Code | Certificate In Computer Typing (CT) | |||
| Course Duration | 6 Months | |||
Center Details |
||||
| Center Code | 91104170 | |||
| Center Name | Vansh Computer Classes | |||
| Center Address | Jagdishpur | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||