Application Form

Name of Candidate Tribhuvan Kumar
911029040173

Student Photo Not Available
Mother's Name Kamli Devi
Father's Name Prakash Mandal
Date of Birth * 02-Feb-1996
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Amapur,ekchari,kahalgaon,bhagalpur Bihar,813204
Mobile No. 8678851987
Email Address punajsmith@gmail.com

Course Details

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

Center Details

Center Code 91102904
Center Name Computer Training Institute
Center Address Kahalgaon
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory