Application Form

Name of Candidate Divyanshu Raj
911078460161

Student Photo Not Available
Mother's Name Purnima Prakash
Father's Name Ajay Kumar
Date of Birth * 27-Feb-2001
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address AT-GAUTAM NAGAR WARD NO.13,GANGJALA,SAHARSA
Mobile No. 7004862356
Email Address divyanshuraj1020@gmail.com

Course Details

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

Center Details

Center Code 91107846
Center Name Tejas Computer Institute
Center Address Parwiniya ,Sonbarsa Kachari Road
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory