Application Form

Name of Candidate Virendra Kumar
911045621086

Student Photo Not Available
Mother's Name Saro Devi
Father's Name Nepal Chaudhari
Date of Birth * 10-Jun-1995
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address vill kaindi po kaindi ps halsi dist lakhisarai pin code 811311
Mobile No. 7857896535
Email Address kumarvirendra17801@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