Application Form

Name of Candidate Raja Kumar
911078460135

Student Photo Not Available
Mother's Name Jay Mala Devi
Father's Name Vijay Kumar Paswan
Date of Birth * 11-May-1998
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address aT-BARSAM WARD NO.02,SAHARSA
Mobile No. 8292139620
Email Address rajakumarpol98@gmail.com

Course Details

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

Center Details

Center Code 91107846
Center Name Tejas Computer Institute
Center Address Parwiniya ,Sonbarsa Kachari Road
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory