Application Form

Name of Candidate Shakshi Kumari
911041140296

Student Photo Not Available
Mother's Name Bina Devi
Father's Name Sanjay Kumar
Date of Birth * 11-Jul-2002
Gender FEMALE
Enrollment No.
Nationality INDIAN
Present Address at- arya tola sabour, po+ps- sabour, dist- bhagalpur, bihar, 813210
Mobile No. 9135321089
Email Address shakshialv@gmail.com

Course Details

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

Center Details

Center Code 91104114
Center Name CTI
Center Address NH-80, Opp.Tata Motors, Sabour
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory