Application Form

Name of Candidate Suraj Kumar
911012480326

Student Photo Not Available
Mother's Name Nilam Kumari
Father's Name Sanjay Kumar
Date of Birth * 05-Feb-2001
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Village -Rahui, thana-Rahui, Rahui, Nalanda , Bihar-803119
Mobile No. 6204378986
Email Address suraj05feb2001@gmail.com

Course Details

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

Center Details

Center Code 91101248
Center Name Drishti Computer Institute
Center Address Quamruddin Ganj,Bihar Sharif
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory