Application Form

Name of Candidate Khushi Kumari
911041051620

Student Photo Not Available
Mother's Name Putul Devi
Father's Name Fantush Singh
Date of Birth * 17-Jul-2006
Gender FEMALE
Enrollment No.
Nationality INDIAN
Present Address AT -BARHARA. POST-KARHARIA PS-BATH DIST-BHAGALPUR STATE-BIHAR PIN-COD -813108
Mobile No. 9631501754
Email Address 9631501754KHUSHI@gmail.com

Course Details

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

Center Details

Center Code 91104105
Center Name Lord Buddha Computer Institute
Center Address Sultanganj
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory