Application Form

Name of Candidate Chhotu Kumar
911041392185

Student Photo Not Available
Mother's Name Parvati Devi
Father's Name Deval Yadav
Date of Birth * 09-Aug-1998
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address at- katahara po-ranka ps- dhankund banka bihar 813105
Mobile No. 7631916494
Email Address ck7631916494@gmail.com

Course Details

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

Center Details

Center Code 91104139
Center Name Lord Buddha Computer Training 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