Application Form

Name of Candidate Khushbu Kumari
911041402102

Student Photo Not Available
Mother's Name Tara Devi
Father's Name Bhumi Ravidas
Date of Birth * 13-Apr-1992
Gender FEMALE
Enrollment No.
Nationality INDIAN
Present Address HOUSING BOARD COLONY, JANTA FLAT, J 98-BARARI-BHAGALPUR-812003
Mobile No. 7484974391
Email Address RAHULKUMAR531994@GMAIL.COM

Course Details

Course Name /Code Diploma in Computer Application (DCA)
Course Duration 6 Months

Center Details

Center Code 91104140
Center Name Computer Institute of Technology
Center Address Mirjanhat
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory