Application Form

Name of Candidate Piyush Sinha
911012560212

Student Photo Not Available
Mother's Name Manilata Sinha
Father's Name Sunil Kumar
Date of Birth * 16-Apr-2007
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address s/o-sUNIL KUMAR VILL-BHUI POST-BHUI PS-SILAO PINCODE-803117
Mobile No. 6200059580
Email Address

Course Details

Course Name /Code Customer Training (CT )
Course Duration 6 Months

Center Details

Center Code 91101256
Center Name BT Vision Computer Institute & Training Centre
Center Address Bhui
Decleration

I hereby declared that all the informations are correct and true to the best of my knowledge and belief.

Place: _______________

Date : _______________
Authorized Signatory