|
||||
Application Form | ||||
| Name of Candidate | Sakshi Shreya |
911052220170 
|
||
| Mother's Name | Nisha Jha | |||
| Father's Name | Indra Mohan Jha | |||
| Date of Birth * | 08-Jul-2004 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | D/O Indra Mohan Jha, ward no. 2, khana, cha-cha, Darbhanga Bihar, 847337 | |||
| Mobile No. | 9430583788 | |||
| Email Address | indra1074mohan@gmail.com | |||
Course Details |
||||
| Course Name /Code | Certificate In Computer Typing (CT) | |||
| Course Duration | 6 Months | |||
Center Details |
||||
| Center Code | 91105222 | |||
| Center Name | PDS Computer Education | |||
| Center Address | Motihari | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||