Application Form

Name of Candidate Abhishek Kumar
911041590281

Student Photo Not Available
Mother's Name Rani Devi
Father's Name Karpuri Thakur
Date of Birth * 03-Oct-2003
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address At-Daraha po+ps-sajour bhagalpur bihar 812006
Mobile No. 8235305169
Email Address kmaraabhishek129g@gmail.com

Course Details

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

Center Details

Center Code 91104159
Center Name Lord Buddha Educational Centre
Center Address Adampur
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory