Application Form

Name of Candidate Simmy Roy
911041140054

Student Photo Not Available
Mother's Name Ranju Roy
Father's Name Binod Kumar Roy
Date of Birth * 16-Sep-2004
Gender FEMALE
Enrollment No.
Nationality INDIAN
Present Address Zero mile jyoti Bihar colony Bhagalpur 812001
Mobile No. 9199488512
Email Address simmyr46@gmail.com

Course Details

Course Name /Code Data Entry Operator (DEO)
Course Duration 3 Months

Center Details

Center Code 91104114
Center Name CTI
Center Address NH-80, Opp.Tata Motors, Sabour
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory