Application Form

Name of Candidate Saurabh Kumar
911041393042

Student Photo Not Available
Mother's Name Sangita Devi
Father's Name Sanjay Sah
Date of Birth * 07-Jun-2005
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Village -sadpur, post-pachrukhi, dist- bhagalpur, bihar,813108
Mobile No. 6299162460
Email Address saurabhkumar6299162460@gmail.com

Course Details

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

Center Details

Center Code 91104139
Center Name Lord Buddha Computer Training 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