Application Form

Name of Candidate Kritika Raj
911041181617

Student Photo Not Available
Mother's Name Usha Devi
Father's Name Rajesh Prasad Ray
Date of Birth * 14-Jul-2011
Gender FEMALE
Enrollment No.
Nationality INDIAN
Present Address Ccm road adampur bhagalpur bihar 812001
Mobile No. 8544300009
Email Address

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