Application Form

Name of Candidate Sajan Kumar
911041140023

Student Photo Not Available
Mother's Name Aasha Devi
Father's Name Lelho Paswan
Date of Birth * 08-Mar-1996
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address AT- LAXMINAGAR, GOGRI, KHAGARIA BIHAR, 851202
Mobile No. 9123184553
Email Address kumarsajan100@gmail.com

Course Details

Course Name /Code Data Entry Operator (DEO)
Course Duration 3 Months

Center Details

Center Code 91104114
Center Name CTI
Center Address NH-80, Opp.Tata Motors, Sabour
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory