Application Form

Name of Candidate Gaurav Kumar
911041140282

Student Photo Not Available
Mother's Name Subhadra Devi
Father's Name Ashok Yadav
Date of Birth * 16-Oct-1998
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address at+po- yamunia ps- parbatta, bhagalpur bihar 853202
Mobile No. 8340624974
Email Address gauravkumar16101998@gmail.com

Course Details

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

Center Details

Center Code 91104114
Center Name CTI
Center Address NH-80, Opp.Tata Motors, Sabour
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory