Application Form

Name of Candidate Chandan Rajak
911012480369

Student Photo Not Available
Mother's Name Anita Devi
Father's Name Badhu Rajak
Date of Birth * 15-May-1989
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Ward No-35, mohalla-sherpur dhobi tola, Post office- Bihar sharif, bihar, Nalanda,Bihar-803101
Mobile No. 7654443497
Email Address chandanrajak155@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