Application Form

Name of Candidate Lakshmi Kumari
911029040641

Student Photo Not Available
Mother's Name Beby Devi
Father's Name Manoj Yadav
Date of Birth * 15-Aug-1999
Gender FEMALE
Enrollment No.
Nationality INDIAN
Present Address srimatpur,pirpainti,bhagalpur,bihar,pin:-813209
Mobile No. 8709932635
Email Address yadavsandeep121345@gmail.com

Course Details

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

Center Details

Center Code 91102904
Center Name Computer Training Institute
Center Address Kahalgaon
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory