|
||||
Application Form | ||||
| Name of Candidate | Priti Kumari |
911029430008 
|
||
| Mother's Name | Guriya Devi | |||
| Father's Name | Subodh Rajak | |||
| Date of Birth * | 16-Feb-2003 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Nandlalpur, kahalgaon, bhagalpur, bihar, pin-813222 | |||
| Mobile No. | 9661965354 | |||
| Email Address | pritikumari2006nlp@gmail.com | |||
Course Details |
||||
| Course Name /Code | Diploma in Computer Application (DCA) | |||
| Course Duration | 6 Months | |||
Center Details |
||||
| Center Code | 91102943 | |||
| Center Name | Computer Training Institute | |||
| Center Address | Nandlalpur,Kahalgaown-813222 | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||