Application Form

Name of Candidate Ashish Gaurav
911054060122

Student Photo Not Available
Mother's Name Phulo Devi
Father's Name Shambhu Pd Yadav
Date of Birth * 21-Nov-1995
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address via chousa ghoshai ps chousa madhepura bihar
Mobile No. 7909057745
Email Address ashishgaurav162@gmail.com

Course Details

Course Name /Code Computer Typing (Computer Typing)
Course Duration 3 Months

Center Details

Center Code 91105406
Center Name Sterlite Training Institute
Center Address Prabhat Colony
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory