|
||||
Application Form | ||||
| Name of Candidate | Khushi Kumari |
911029040241 
|
||
| Mother's Name | Sanju Devi | |||
| Father's Name | Umesh Prasad Yadav | |||
| Date of Birth * | 08-Aug-2006 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Gangalday,kahalgaon,bhagalpur,bihar,pin-813203 | |||
| Mobile No. | 8789728507 | |||
| Email Address | punajsmith@gmail.com | |||
Course Details |
||||
| Course Name /Code | Certificate In Computer Application (CCA) | |||
| Course Duration | 3 Months | |||
Center Details |
||||
| Center Code | 91102904 | |||
| Center Name | Computer Training Institute | |||
| Center Address | Kahalgaon | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||