Application Form

Name of Candidate Rajiv Kumar Panday
911041181379

Student Photo Not Available
Mother's Name Kiran Panday
Father's Name Shashikant Panday
Date of Birth * 17-Feb-1992
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address At-haruwadanga po+ps-dighalbank kishanganj bihar 855101
Mobile No. 8210077199
Email Address rajivpandey0129@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