Application Form

Name of Candidate Ajeet Kumar
911012480374

Student Photo Not Available
Mother's Name Baby Devi
Father's Name Krishna Deo Prasad
Date of Birth * 14-Sep-1998
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Vill-po-korari, Korari , Patna, Belchhi, Bihar, 803110
Mobile No. 8521818543
Email Address ajeetkumar72007@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