Application Form

Name of Candidate Akhlesh Kumar
911045621030

Student Photo Not Available
Mother's Name Nirmala Devi
Father's Name Faguni Mahto
Date of Birth * 22-May-1999
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address VILL BAHCHHA PO BAHCHHA PS HALSI DIST LAKHISARAI PIN CODE 811304
Mobile No. 8228058036
Email Address akhlesh811304@gmail.com

Course Details

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

Center Details

Center Code 91104562
Center Name ICT COMPUTER EDUCATION
Center Address Aliganj
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory