Shahrukh Ahmed Ansari-970807058234

A division of
FIIT SKILLS DEVELOPEMENT AMD TECHNO FOUNDATION
Regd. Under Companies Act | Ministry of Corporates Affairs Govt of India
Regd Office : 406 4th Floor, Raut Arcade,
Application Form

Student Details

Name of Candidate : Shahrukh Ahmed Ansari
Reg. No. 970807058234

Student Photo Not Available
Mother's Name : Nasima Khatoon
Father's Name : Wazir Ahmed
Date of Birth * : 02-Jan-2001
Gender : MALE
Nationality : INDIAN
Present Address : S/O: Wazir Ahmed, VILLAGE-KATOKHAR P.O-MUBARAKPUR, Tajpur, PO: Fulwaria Tajpur, DIST: Saran, Bihar-841209
Mobile No. : 8252533523
Email Address :

Course Details

Course Name /Code : Advance Diploma in Computer Application (ADCA)
Course Duration : 12 Months

Attached Document

Identity Proof : Sorry No Attachment
Educational Certificate : Sorry No Attachment
Decleration

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

Place: , Saran
Date : 30-Nov--0001

Signature of Student

Center Details

Center Code : 97080705

Verified By
Center Name : FIIT SKILL DEVELOPMENT AND TECHNO FOUNDATION,EKMA
Center Address : LIC Office,Tajpur Road,Ekma, Saran-841208, (Saran)
ID Proof
Educational Proof