Application Form

Name of Candidate Priyanka Kumari
911041400128

Student Photo Not Available
Mother's Name Vibha Devi
Father's Name Ajit Thakur
Date of Birth * 04-Apr-2000
Gender FEMALE
Enrollment No.
Nationality INDIAN
Present Address Ghosh lane, opp Deep prabha cinema, Manik Sarkar Bhagalpur -812001
Mobile No. 8409041993
Email Address pkshanu735@gmail.com

Course Details

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

Center Details

Center Code 91104140
Center Name Computer Institute of Technology
Center Address Mirjanhat
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory