Application Form

Name of Candidate Satyam Anand
911041570140

Student Photo Not Available
Mother's Name Sangeeta Jha
Father's Name Manoj Kumar Jha
Date of Birth * 09-Jan-2002
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Simra Naugachhia bhagalpur Bihar - 853204
Mobile No. 7352095780
Email Address satyamanand2000@gmail.com

Course Details

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

Center Details

Center Code 91104157
Center Name Vivek Computer Classes
Center Address Barari,Near ITI College
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory