|
||||
Application Form | ||||
| Name of Candidate | Shambhavi Kumari |
911041520199 
|
||
| Mother's Name | Archana Jha | |||
| Father's Name | Mithilesh Kumar Jha | |||
| Date of Birth * | 15-Jul-2000 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | mahagama, harna buzurg, mahgama, banka, bihar 813105 | |||
| Mobile No. | 9973854301 | |||
| Email Address | shambhavujha434@gmail.com | |||
Course Details |
||||
| Course Name /Code | Certificate In Computer Typing (CT) | |||
| Course Duration | 6 Months | |||
Center Details |
||||
| Center Code | 91104152 | |||
| Center Name | Evergreen Computer Training Institute | |||
| Center Address | Nathnagar | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||