Application Form

Name of Candidate Anjali Kumari
911041181100

Student Photo Not Available
Mother's Name Renu Devi
Father's Name Banarsi Mandal
Date of Birth * 13-Feb-1995
Gender FEMALE
Enrollment No.
Nationality INDIAN
Present Address Gram-masarhu sabour bhagalpur bihar 813210
Mobile No. 7070273233
Email Address skanjali33@gmail.com

Course Details

Course Name /Code Diploma in Computer Application (DCA)
Course Duration 6 Months

Center Details

Center Code 91104118
Center Name Sterliate Training Institute
Center Address Adampur
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory