Application Form

Name of Candidate Abhimanyu Kumar
911041051002

Student Photo Not Available
Mother's Name Ramwati Devi
Father's Name Hardev Paswan
Date of Birth * 15-Jan-1999
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address AT+PO- GHORGHAT PS- BARIARPUR DIST- MUNGER BIHAR, 811211
Mobile No. 9117008616
Email Address abhimanyukumarght1015@gmail.com

Course Details

Course Name /Code Certificate In Computer Typing (CT)
Course Duration 6 Months

Center Details

Center Code 91104105
Center Name Lord Buddha Computer Institute
Center Address Sultanganj
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory