Application Form

Name of Candidate Riya Gupta
911054060103

Student Photo Not Available
Mother's Name Baby Devi
Father's Name Ashok Kumar
Date of Birth * 09-Jun-2002
Gender FEMALE
Enrollment No.
Nationality INDIAN
Present Address AT- NANDNAMA, LAKHISARAI BIHAR
Mobile No. 9771703100
Email Address dr.ritunanad@rediffmail.com

Course Details

Course Name /Code Computer Typing (Computer Typing)
Course Duration 3 Months

Center Details

Center Code 91105406
Center Name Sterlite Training Institute
Center Address Prabhat Colony
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory