|
||||
Application Form | ||||
| Name of Candidate | Ashish Raj |
911041140249 
|
||
| Mother's Name | Sarita Jha | |||
| Father's Name | Mithilesh Pathak | |||
| Date of Birth * | 01-Mar-1991 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | at-chhoti hat, brahman tola, sabour bhagalpur, bihar-813210 | |||
| Mobile No. | 7979861731 | |||
| Email Address | ||||
Course Details |
||||
| Course Name /Code | Certificate In Computer Typing (CT) | |||
| Course Duration | 6 Months | |||
Center Details |
||||
| Center Code | 91104114 | |||
| Center Name | CTI | |||
| Center Address | NH-80, Opp.Tata Motors, Sabour | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||