Purushottam-123456110148

A division of
AKHARI KOSHISH FOUNDATION
Regd. Under Companies Act | Ministry of Corporates Affairs Govt of India
Regd Office : JHANDACHOWK, BARBIGHA, SHEIKHPURA BR 811101
Application Form

Student Details

Name of Candidate : Purushottam
Reg. No. 123456110148

Student Photo Not Available
Mother's Name : Vidyarthi Manjula
Father's Name : Ganesh Kumar Vidyarthi
Date of Birth * : 01-Sep-2000
Gender : MALE
Nationality : INDIAN
Present Address : NADAUL PATNA BIHAR 804454
Mobile No. : 9153703847
Email Address : PURUSHOTTAMYADUVANSHI@GMAIL.COM

Course Details

Course Name /Code : COMPUTER TYPING (CT6)
Course Duration : 6 Months

Attached Document

Identity Proof : Download
Educational Certificate : Download
Decleration

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

Place: , Gaya
Date : 02-Jan-2023

Signature of Student

Center Details

Center Code : 12345611

Verified By
Center Name : COMPUTER ACADEMY
Center Address : NANDAN BIGHA,TEKARI,GAYA,BIHAR, (Gaya)
ID Proof
Educational Proof