|
||||
Application Form | ||||
| Name of Candidate | Shriti Kumari |
911052220306 
|
||
| Mother's Name | Sunita Srivastava | |||
| Father's Name | Sunil Kumar Srivastava | |||
| Date of Birth * | 11-Sep-1999 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | D/O Sunil Kumar Srivastava, Ward No 8,Raghunathpur Lala Tola, Motihari East Champaran Bihar | |||
| Mobile No. | 6287244403 | |||
| Email Address | srishriti593@gmail.com | |||
Course Details |
||||
| Course Name /Code | Certificate In Computer Typing (CT) | |||
| Course Duration | 6 Months | |||
Center Details |
||||
| Center Code | 91105222 | |||
| Center Name | PDS Computer Education | |||
| Center Address | Motihari | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||