Application Form

Name of Candidate Priya Kumari
911012480462

Student Photo Not Available
Mother's Name Pratima Kumari
Father's Name Bhushan Kumar
Date of Birth * 15-Sep-2004
Gender FEMALE
Enrollment No.
Nationality INDIAN
Present Address Village -chandaura, post-meyar, chhabilapur, Nalanda, Bihar -803116
Mobile No. 6201196470
Email Address priyakumarisep15@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