|
||||
Application Form | ||||
| Name of Candidate | Surendra Kumar |
911012510069 
|
||
| Mother's Name | Shobha Devi | |||
| Father's Name | Babu Lal Mandal | |||
| Date of Birth * | 12-Dec-1995 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | at- tulsipur, post- haveli kharagpur , munger , bihar - 811213 | |||
| Mobile No. | 7488152756 | |||
| Email Address | ||||
Course Details |
||||
| Course Name /Code | Certificate In Computer Typing (CT) | |||
| Course Duration | 6 Months | |||
Center Details |
||||
| Center Code | 91101251 | |||
| Center Name | CIT Computer Education | |||
| Center Address | 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 |
|||
|
| ||||