Application Form

Name of Candidate Ankita Priya
911012480227

Student Photo Not Available
Mother's Name Vidya Rani
Father's Name Surendra Singh
Date of Birth * 04-Dec-1998
Gender FEMALE
Enrollment No.
Nationality INDIAN
Present Address torna, Torni, Rohtas, Sheosagar, Bihar,821111
Mobile No. 9693706829
Email Address ankitapriyassm78@gmail.com

Course Details

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

Center Details

Center Code 91101248
Center Name Drishti Computer Institute
Center Address Quamruddin Ganj,Bihar Sharif
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory