Application Form

Name of Candidate Ravi Kumar
911041570451

Student Photo Not Available
Mother's Name Renu Devi
Father's Name Mahendra Prasad Ray
Date of Birth * 27-Dec-1999
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Kali mandir barari town bhagalpur anchal jagdishpur dis.- bhagalpur Bihar 812003
Mobile No. 8084032643
Email Address jaymakali108@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