Application Form

Name of Candidate Chandani Kumari
911012560216

Student Photo Not Available
Mother's Name Satyendra Prasad
Father's Name Pinki Devi
Date of Birth * 04-Feb-2005
Gender FEMALE
Enrollment No.
Nationality INDIAN
Present Address D/O-SATYENDRA PRASAD VILL-YOGIYA POST-CHANDI PS-CHANDI PIN CODE-803108
Mobile No. 8789281190
Email Address

Course Details

Course Name /Code Customer Training (CT )
Course Duration 6 Months

Center Details

Center Code 91101256
Center Name BT Vision Computer Institute & Training Centre
Center Address Bhui
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory