|
||||
Application Form | ||||
| Name of Candidate | Pritam Sinha |
911041400029 
|
||
| Mother's Name | Suman Sudha | |||
| Father's Name | Bijay Kumar | |||
| Date of Birth * | 06-Jan-1997 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Shant Nagar, shahkund, Bhagalpur -813108 | |||
| Mobile No. | 9123494396 | |||
| Email Address | basist2194@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 |
|||
|
| ||||