|
||||
Application Form | ||||
| Name of Candidate | Suraj Kumar Das |
911021110250 
|
||
| Mother's Name | Gita Devi | |||
| Father's Name | Gopal Das | |||
| Date of Birth * | 05-Feb-1996 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | harizan tola baijani, baijani, baijani, bhagalpur, jagdishpur, bihar, pin code-813112 | |||
| Mobile No. | 8709121778 | |||
| Email Address | rav@gmail.com | |||
Course Details |
||||
| Course Name /Code | Certificate In Computer Typing (CT) | |||
| Course Duration | 6 Months | |||
Center Details |
||||
| Center Code | 91102111 | |||
| Center Name | Aditya Institute of Information Technology | |||
| Center Address | kharik | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||