Application Form

Name of Candidate Pooja Kumari
911041051594

Student Photo Not Available
Mother's Name Sarita Devi
Father's Name Bhim Kumar Ram
Date of Birth * 16-Aug-2001
Gender FEMALE
Enrollment No.
Nationality INDIAN
Present Address at- vikkam, kachhiana, lakhisarai, bihar, 811107
Mobile No. 8002071993
Email Address shikhakr2.dhn@gmail.com

Course Details

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

Center Details

Center Code 91104105
Center Name Lord Buddha Computer Institute
Center Address Sultanganj
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory