Application Form

Name of Candidate Geeta Kumari
911031340249

Student Photo Not Available
Mother's Name Kaliya Devi
Father's Name Anup Yadav
Date of Birth * 10-Nov-2000
Gender FEMALE
Enrollment No.
Nationality INDIAN
Present Address Vill.naudhariya. Po.bijubigha. ps.buniyadganj dist Gaya state bihar
Mobile No. 9472119460
Email Address sumanchouhan1581993@gmail.com

Course Details

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

Center Details

Center Code 91103134
Center Name Computer Training Institute MAX
Center Address SadiPur,Manpur
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory