Hall Bird-2527

A division of
Hi-Tech Computer Education
Regd. Under Companies Act | Ministry of Corporates Affairs Govt of India
Regd Office : Near Bank of India, Main Road, Mirganj, GopalGanj
Application Form

Student Details

Name of Candidate : Hall Bird
Reg. No. 2527

Student Photo Not Available
Mother's Name : Dolore Obcaecati Max
Father's Name : Aperiam Culpa Repre
Date of Birth * : 07-Apr-1974
Gender : OTHER
Nationality : INDIAN
Present Address : Minima sit minus si
Mobile No. : 7451214579
Email Address : butimezug@mailinator.com

Course Details

Course Name /Code : Diploma in Fire & Safety (DFS)
Course Duration : 6 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: , Gopalganj
Date : 06-Sep-1973

Signature of Student

Center Details

Center Code : 91102801

Verified By
Center Name : Hi-Tech Computer Education
Center Address : Near Bank of India, Main Road, Mirganj, Gopalganj, (Gopalganj)
ID Proof
Educational Proof