Application Form

Name of Candidate Sakshi Soumya
911041570291

Student Photo Not Available
Mother's Name Kajal Devi
Father's Name Manoj Ray
Date of Birth * 10-Oct-2002
Gender FEMALE
Enrollment No.
Nationality INDIAN
Present Address Vishwanath acharya lane barari bhagalpur Bihar -812003
Mobile No. 8539865611
Email Address sakshisoumya8757@gmail.com

Course Details

Course Name /Code Certificate In Computer Typing (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