|
||||
Application Form | ||||
| Name of Candidate | Ansu Raj Avi |
911052220025 
|
||
| Mother's Name | Punam Kumari | |||
| Father's Name | Rajesh Kumar | |||
| Date of Birth * | 04-Sep-2000 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | S o - Rajesh kumar, Ward no. 02, Near Masjid Kolhuarawa chowk, Henri Bazar, Motihari, East Champarn Bihar, 845401 | |||
| Mobile No. | 8434744433 | |||
| Email Address | anshurajavi@gmail.com | |||
Course Details |
||||
| Course Name /Code | Certificate in Desktop Publishing (DTP) | |||
| Course Duration | 3 Months | |||
Center Details |
||||
| Center Code | 91105222 | |||
| Center Name | PDS Computer Education | |||
| Center Address | Motihari | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||