|
||||
Application Form | ||||
| Name of Candidate | Pratibha Kumari |
911024500093 
|
||
| Mother's Name | Babita Devi | |||
| Father's Name | Anil Pal | |||
| Date of Birth * | 19-Jan-2003 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | CHAKRMASHA, SAHKUND BHAGALPUR 813108 | |||
| Mobile No. | 9905061325 | |||
| Email Address | Pkbgp69@Gmail.Com | |||
Course Details |
||||
| Course Name /Code | Certificate In Computer Typing (CT) | |||
| Course Duration | 6 Months | |||
Center Details |
||||
| Center Code | 91102450 | |||
| Center Name | Lord Sri Krishna Computer Training Institute | |||
| Center Address | Babura | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||