Application Form

Name of Candidate Pampa Kumari
911021110178

Student Photo Not Available
Mother's Name
Father's Name Nunubabu Mahato
Date of Birth * 01-Jan-1970
Gender FEMALE
Enrollment No.
Nationality INDIAN
Present Address athania, usmanpur, kharik, bhagalpur,
Mobile No. 9817172695
Email Address

Course Details

Course Name /Code AC Technician (ACT )
Course Duration 4 Months

Center Details

Center Code 91102111
Center Name Aditya Institute of Information Technology
Center Address kharik
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory