Application Form

Name of Candidate Gokul Kumar
911029040339

Student Photo Not Available
Mother's Name Kaushaliya Devi
Father's Name Gholtan Rajak
Date of Birth * 09-Jan-1988
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Sakahara Vishnupur, near panchayat bhawan,rajoun, banka,bihar, pin-813105
Mobile No. 7070270433
Email Address kumargokul0777@gmail.com

Course Details

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

Center Details

Center Code 91102904
Center Name Computer Training Institute
Center Address Kahalgaon
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory