Application Form

Name of Candidate Ashish Kumar
911041590404

Student Photo Not Available
Mother's Name Bhagwati Devi
Father's Name Yogendra Yadav
Date of Birth * 02-Apr-2002
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Vill - Fullidumar, Banka 813207
Mobile No. 9102466895
Email Address ashishkumar9102466895@gmail.com

Course Details

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

Center Details

Center Code 91104159
Center Name Lord Buddha Educational Centre
Center Address Adampur
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory