Application Form

Name of Candidate Mithi Kumari
911041010864

Student Photo Not Available
Mother's Name Mala Devi
Father's Name Basuki Rajak
Date of Birth * 07-Oct-2000
Gender FEMALE
Enrollment No.
Nationality INDIAN
Present Address Vill - Belari Purv, P.O - Dhandhi Belari Dist - Bhagalpur State - Bihar Pin - 813201
Mobile No. 9334289422
Email Address mithikumari.mkumari@gmail.com

Course Details

Course Name /Code Advance Diploma in Computer Application (ADCA)
Course Duration 12 Months

Center Details

Center Code 91104101
Center Name Sterliate Training Institute
Center Address Adampur chowk
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory