|
||||
Application Form | ||||
| Name of Candidate | Kishan Srivastava |
911052220155 
|
||
| Mother's Name | Sajala Devi | |||
| Father's Name | Amod Kumar Srivastava | |||
| Date of Birth * | 01-Mar-1998 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | S/O Amod kumar Srivastava, pataura Lala Tola, East champaran Bihar, 845401 | |||
| Mobile No. | 7079833860 | |||
| Email Address | srivastavakishan022@gmail.com | |||
Course Details |
||||
| Course Name /Code | Certificate In Computer Typing (CT) | |||
| Course Duration | 6 Months | |||
Center Details |
||||
| Center Code | 91105222 | |||
| Center Name | PDS Computer Education | |||
| Center Address | Motihari | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||