Application Form

Name of Candidate Garima Garg
911054060116

Student Photo Not Available
Mother's Name Niharika Devi
Father's Name Brajkishore Dwivedy
Date of Birth * 02-Oct-1992
Gender FEMALE
Enrollment No.
Nationality INDIAN
Present Address aRYANAGAR rAILY BAZAR rAMNAGAR WEST CHAMPARAN BIHAR
Mobile No. 9122699230
Email Address dr.rituanand@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