Application Form

Name of Candidate Gulshan Kumar
911041181344

Student Photo Not Available
Mother's Name Renu Devi
Father's Name Dilip Prasad Yadav
Date of Birth * 15-Dec-1995
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Vill-srirampur at+po-akbarnagar bhagalpur bihar 812006
Mobile No. 8709851296
Email Address kumargulshan9973@gmail.com

Course Details

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

Center Details

Center Code 91104118
Center Name Sterliate Training Institute
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