|
||||
Application Form | ||||
| Name of Candidate | Ayush Kumar |
911024100066 
|
||
| Mother's Name | Kiran Devi | |||
| Father's Name | Vishwanath Ram | |||
| Date of Birth * | 12-Sep-1995 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | At - Badi Dostani , PS - Goradih , District - Bhagalpur | |||
| Mobile No. | 9122396536 | |||
| Email Address | ayushkumarvikram@gmail.com | |||
Course Details |
||||
| Course Name /Code | Computer Typing (Computer Typing) | |||
| Course Duration | 3 Months | |||
Center Details |
||||
| Center Code | 91102410 | |||
| Center Name | Unique Computer Centre | |||
| Center Address | Gulni Kushaha ,Shambhu Ganj | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||