|
||||
Application Form | ||||
| Name of Candidate | Gunja Bharti |
911041520142 
|
||
| Mother's Name | Usha Bharti | |||
| Father's Name | Bhageshwar Das | |||
| Date of Birth * | 26-Dec-2004 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | parghari , bamdeo, rajoun, banka, 813107 | |||
| Mobile No. | 9199100328 | |||
| Email Address | ||||
Course Details |
||||
| Course Name /Code | Certificate In Computer Typing (CT) | |||
| Course Duration | 6 Months | |||
Center Details |
||||
| Center Code | 91104152 | |||
| Center Name | Evergreen Computer Training Institute | |||
| Center Address | Nathnagar | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||