Application Form

Name of Candidate Mithun Kumar
911021110292

Student Photo Not Available
Mother's Name Rita Devi
Father's Name Dilip Mandal
Date of Birth * 12-Sep-2004
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address nawada, akidttpur, kharik, bhagalpur, bihar pin code-853202
Mobile No. 6207560049
Email Address kumarmithun9690@gmail.com

Course Details

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

Center Details

Center Code 91102111
Center Name Aditya Institute of Information Technology
Center Address kharik
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory