Raj Purushotam-123456180002

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 : Raj Purushotam
Reg. No. 123456180002

Student Photo Not Available
Mother's Name : Renu Devi
Father's Name : Mukesh Kumar Singh
Date of Birth * : 01-Oct-2001
Gender : MALE
Nationality : INDIAN
Present Address : VILL- GAPHA KHURD,POST-JANIBIGHA,FATEHPUR GAYA BIHAR-824232
Mobile No. : 8207310891
Email Address : rohanrajput8207@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-Feb-2025

Signature of Student

Center Details

Center Code : 12345618

Verified By
Center Name : INDIAN INSTITUTE
Center Address : BHADEJA MANPUR GAYA BIHAR 823003, (Gaya)
ID Proof
Educational Proof