Application Form

Name of Candidate Laxmi Kumari
911012480416

Student Photo Not Available
Mother's Name Kiran Devi
Father's Name Arjun Prasad
Date of Birth * 04-Oct-2000
Gender FEMALE
Enrollment No.
Nationality INDIAN
Present Address SABZI BAZAR, Bihar, Nalanda. Bihar -803101
Mobile No. 9304293354
Email Address Kajalgupta1545@gmail.com

Course Details

Course Name /Code Certificate In Computer Typing (CT)
Course Duration 6 Months

Center Details

Center Code 91101248
Center Name Drishti Computer Institute
Center Address Quamruddin Ganj,Bihar Sharif
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory