Application Form

Name of Candidate Saurav Kumar
911078460043

Student Photo Not Available
Mother's Name Pushpa Jha
Father's Name Indra Kant Jha
Date of Birth * 24-Jun-1989
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address AT-LAXMI NATH NAGAR ,WARD NO.06
Mobile No. 9065118275
Email Address sauravjha2431@gmail.com

Course Details

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

Center Details

Center Code 91107846
Center Name Tejas Computer Institute
Center Address Parwiniya ,Sonbarsa Kachari Road
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory