Application Form

Name of Candidate Sonam Kumari
911041570036

Student Photo Not Available
Mother's Name Chhaya Devi
Father's Name Arvind Thakur
Date of Birth * 25-Oct-2003
Gender FEMALE
Enrollment No.
Nationality INDIAN
Present Address At.- Birj mohan thakur lane, Post- Barari Thana- Barari Bhagalpur Bihar- 812003
Mobile No. 7361902231
Email Address sk398223@gamil.com

Course Details

Course Name /Code Customer Training (CT )
Course Duration 6 Months

Center Details

Center Code 91104157
Center Name Vivek Computer Classes
Center Address Barari,Near ITI College
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory