Application Form

Name of Candidate Ayush Kumar
911041051241

Student Photo Not Available
Mother's Name Kumari Sunaina Sinha
Father's Name Kapildeo Singh
Date of Birth * 02-Feb-2005
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address at+po karaharia p.s bath dist bhagalpur pin 813108
Mobile No. 6206628561
Email Address surajkumarkarharia5523@gmail.com

Course Details

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

Center Details

Center Code 91104105
Center Name Lord Buddha Computer Institute
Center Address Sultanganj
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory