Application Form

Name of Candidate Kumod Kumar Anupam
911041570495

Student Photo Not Available
Mother's Name Shikha Devi
Father's Name Muniraj Singh
Date of Birth * 02-Oct-1994
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Vill- brindawan, post - lohchi, Munger Bihar - 811211
Mobile No. 9852489321
Email Address kumodkranupam1994@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