Application Form

Name of Candidate Sandeep Kumar
911052220196

Student Photo Not Available
Mother's Name Parbha Devi
Father's Name Sudama Ray
Date of Birth * 05-Nov-1999
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address S o-sudama Ray,chhatauni Bazar new mohallah, East champaran,motihari, Bihar, 845401
Mobile No. 9771733543
Email Address sk9695770@gmail.com

Course Details

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

Center Details

Center Code 91105222
Center Name PDS Computer Education
Center Address Motihari
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory