|
||||
Application Form | ||||
| Name of Candidate | Sajan Kumar Choudhary |
911012510959 
|
||
| Mother's Name | Puspa Devi | |||
| Father's Name | Rajesh Choudhary | |||
| Date of Birth * | 04-Oct-1998 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | at- vill- basaiya, po- patakchak , jamui, bihar - 811307 | |||
| Mobile No. | 9955047610 | |||
| Email Address | ||||
Course Details |
||||
| Course Name /Code | Certificate In Computer Typing (CT) | |||
| Course Duration | 6 Months | |||
Center Details |
||||
| Center Code | 91101251 | |||
| Center Name | CIT Computer Education | |||
| Center Address | Bihar Sharif | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||