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Application Form | ||||
| Name of Candidate | Manisha Kumari |
911041020741 
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| Mother's Name | Lalita Devi | |||
| Father's Name | Sushil Yadav | |||
| Date of Birth * | 25-Mar-2000 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Mahadev tiker,post-sadipur, thana-pirpainti,bhagalpur,bihar-813209 | |||
| Mobile No. | 9264400144 | |||
| Email Address | manishabgp252000@gmail.com | |||
Course Details |
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| Course Name /Code | AC Technician (ACT ) | |||
| Course Duration | 4 Months | |||
Center Details |
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| Center Code | 91104102 | |||
| Center Name | Sterliate Training Institute | |||
| Center Address | Khanjarpur | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
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Place: _______________ Date : _______________ |
Authorized Signatory |
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