Application Form

Name of Candidate Poonam Kumari
911041780710

Student Photo Not Available
Mother's Name Hemanti Devi
Father's Name Dewaki Saw
Date of Birth * 22-Oct-1999
Gender FEMALE
Enrollment No.
Nationality INDIAN
Present Address Police line bhagalpur bihar 812001
Mobile No. 8986891512
Email Address

Course Details

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

Center Details

Center Code 91104178
Center Name Lord Buddha Educational Trust
Center Address Adampur
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory