Application Form

Name of Candidate Reshmi Kumari
911029430012

Student Photo Not Available
Mother's Name Chuniya Devi
Father's Name Dinesh Devidinesh Uraon
Date of Birth * 22-Mar-2006
Gender FEMALE
Enrollment No.
Nationality INDIAN
Present Address Nandlalpur, kahalgaon, bhagalpur, bihar, pin-813222
Mobile No. 6205710243
Email Address punajsmith@gmail.com

Course Details

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

Center Details

Center Code 91102943
Center Name Computer Training Institute
Center Address Nandlalpur,Kahalgaown-813222
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory