Application Form

Name of Candidate Satish Kumar
911012511117

Student Photo Not Available
Mother's Name Pramila Devi
Father's Name Rajender Sharma
Date of Birth * 02-Jul-2000
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address vill-tejachak, matia, barhat, panro, jamui, bihar-811312
Mobile No. 7281840016
Email Address suraj62056yadav@gmail.com

Course Details

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

Center Details

Center Code 91101251
Center Name CIT Computer Education
Center Address Bihar Sharif
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory