Application Form

Name of Candidate Mithlesh Kumar
911041400015

Student Photo Not Available
Mother's Name Rekha Devi
Father's Name Indradev Yadav
Date of Birth * 04-Mar-1996
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Kahalgaon tola,khawaspur, pirpainti, Bhagalpur-813209
Mobile No. 9693021228
Email Address mithlesh9534101255@gmail.com

Course Details

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

Center Details

Center Code 91104140
Center Name Computer Institute of Technology
Center Address Mirjanhat
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory