|
||||
Application Form | ||||
| Name of Candidate | Lalita Devi |
911041601015 
|
||
| Mother's Name | Pramila Devi | |||
| Father's Name | Jayram Ray | |||
| Date of Birth * | 12-Jun-1998 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | vill-mayabandh charghara phaga banka bihar 813104 | |||
| Mobile No. | 8409466326 | |||
| Email Address | ||||
Course Details |
||||
| Course Name /Code | Advance Diploma in Cutting & Tailoring (ADCT ) | |||
| Course Duration | 12 Months | |||
Center Details |
||||
| Center Code | 91104160 | |||
| Center Name | Amrita Mahila Silai Training Centre | |||
| Center Address | Goura Chowki | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||