|
||||
Application Form | ||||
| Name of Candidate | Md Ashif Ali Azmi |
911041260372 
|
||
| Mother's Name | Farhat Bano | |||
| Father's Name | Md Azim Uddin | |||
| Date of Birth * | 20-Oct-1989 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | AT SARAI, UNIVERSITY ROAD,NEAR BARI MASJID,PO-BHAGALPUR CITY, PS-TATARPUR DISTRICT BHAGALPUR BIHAR 812002 | |||
| Mobile No. | 7488498728 | |||
| Email Address | ashifaliazmi123@gmail.com | |||
Course Details |
||||
| Course Name /Code | Certificate In Computer Typing (CT) | |||
| Course Duration | 6 Months | |||
Center Details |
||||
| Center Code | 91104126 | |||
| Center Name | Sterliate Training Institute | |||
| Center Address | Laluchak | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||