Application Form

Name of Candidate Nisha Kumari
911078460228

Student Photo Not Available
Mother's Name Rani Devi
Father's Name Shiv Shankar Ram
Date of Birth * 03-Nov-1999
Gender FEMALE
Enrollment No.
Nationality INDIAN
Present Address D/O-Shiv Shankar Ram, Near Bhushan Press, Choti Kelawari, Munger, Bihar-811201
Mobile No. 8051613730
Email Address 0007anujking@gmail.com

Course Details

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

Center Details

Center Code 91107846
Center Name Tejas Computer Institute
Center Address Parwiniya ,Sonbarsa Kachari Road
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory