Application Form

Name of Candidate Bharti Kumari
911041570173

Student Photo Not Available
Mother's Name Urmila Devi
Father's Name Bindi Sahni
Date of Birth * 18-Jan-2003
Gender FEMALE
Enrollment No.
Nationality INDIAN
Present Address Lal darwaja Gita babu road Munger,Bihar_811201
Mobile No. 7294915370
Email Address bhartiroy2003mgr@gmail.com

Course Details

Course Name /Code Certificate In Computer Typing (CT)
Course Duration 6 Months

Center Details

Center Code 91104157
Center Name Vivek Computer Classes
Center Address Barari,Near ITI College
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory