|
||||
Application Form | ||||
| Name of Candidate | Chandani Kumari |
911029420010 
|
||
| Mother's Name | Phulo Devi | |||
| Father's Name | Roushan Mahto | |||
| Date of Birth * | 01-Jan-2005 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | AT GHUTHIYANI, PO MADARGANJ, PS AMDANDA BHAGALPUR BIHAR 813204 | |||
| Mobile No. | 9835971022 | |||
| Email Address | chandanikumari983597@gmail.com | |||
Course Details |
||||
| Course Name /Code | Certificate In Computer Typing (CT) | |||
| Course Duration | 6 Months | |||
Center Details |
||||
| Center Code | 91102942 | |||
| Center Name | Computer Training Institute | |||
| Center Address | Ghuthiyani,Kahalgaon | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||