Application Form

Name of Candidate Nitish Kumar
911045621076

Student Photo Not Available
Mother's Name Lalita Kumari
Father's Name Amirak Mahto
Date of Birth * 10-Feb-2000
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address vill darkha po darkha ps lachhuar Dist jamui pin code 811301
Mobile No. 9534421030
Email Address nitishdarlha27@gmail.com

Course Details

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

Center Details

Center Code 91104562
Center Name ICT COMPUTER EDUCATION
Center Address Aliganj
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory