Application Form

Name of Candidate Shivani Priya
911041181163

Student Photo Not Available
Mother's Name Kanika Devi
Father's Name Rajkishor Singh
Date of Birth * 26-Jan-2003
Gender FEMALE
Enrollment No.
Nationality INDIAN
Present Address At+po+ps-sanhoula bhagalpur bihar 813225
Mobile No. 7050462554
Email Address shivanipriya295@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