Application Form

Name of Candidate Abhishek Kumar
911084580015

Student Photo Not Available
Mother's Name Nilam Devi
Father's Name Ravindra Prasad
Date of Birth * 16-Feb-2002
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address AT-ITWA WARD NO-03, PO-ITWA, DIST-EAST CHAMPARAN BIHAR-845428
Mobile No. 6202109342
Email Address abhishekkumarn91@gmail.com

Course Details

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

Center Details

Center Code 91108458
Center Name Tejas Computer Education
Center Address Chauradano
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory