Application Form

Name of Candidate Puja Rani
911012480458

Student Photo Not Available
Mother's Name Shila Devi
Father's Name Anil Kumar
Date of Birth * 14-Jun-2005
Gender FEMALE
Enrollment No.
Nationality INDIAN
Present Address Gram-dashrathpur, post-pawapuri, ps-giriyak, dasrathpur, Nalanda, Bihar -803115
Mobile No. 9110012191
Email Address rpuja1715@gmail.com

Course Details

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

Center Details

Center Code 91101248
Center Name Drishti Computer Institute
Center Address Quamruddin Ganj,Bihar Sharif
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory