Application Form

Name of Candidate Anup Kumar
911041570400

Student Photo Not Available
Mother's Name Nirmala Devi
Father's Name Bhubneshwar Das
Date of Birth * 15-May-1997
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address At- korchakka post-Dharampurratti ps- bihpur bhagalpur Bihar -853201
Mobile No. 6201894923
Email Address vikashkumar49050@gmail.com

Course Details

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

Center Details

Center Code 91104157
Center Name Vivek Computer Classes
Center Address Barari,Near ITI College
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory