Application Form

Name of Candidate Avinash Kumar
911041051006

Student Photo Not Available
Mother's Name Mira Devi
Father's Name Chandrashekhar Paswan
Date of Birth * 07-Feb-1997
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address At + post Ghorghat PS Bariarpur Dist Munger Bihar pin 811211
Mobile No. 7631177893
Email Address avinashght9155@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