Application Form

Name of Candidate Mintu Kumar Das
911041570325

Student Photo Not Available
Mother's Name Indra Devi
Father's Name Deepnarayan Das
Date of Birth * 14-Apr-1996
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Gram korchakka post dharampur ratti bhagalpur Bihar -853201
Mobile No. 7909060449
Email Address mintu14496@gmail.com

Course Details

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

Center Details

Center Code 91104157
Center Name Vivek Computer Classes
Center Address Barari,Near ITI College
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory