Application Form

Name of Candidate Vikash Bharti
911045621084

Student Photo Not Available
Mother's Name Pramila Devi
Father's Name Anil Kumar
Date of Birth * 23-Mar-2000
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address vill darkha po darkha ps Lachhuar Dist jamui pin code 811301
Mobile No. 7781996278
Email Address vikashbharti7781@gmail.com

Course Details

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

Center Details

Center Code 91104562
Center Name ICT COMPUTER EDUCATION
Center Address Aliganj
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory