Application Form

Name of Candidate Adarsh Anand
911041400091

Student Photo Not Available
Mother's Name Nutan Devi
Father's Name Bablu Kumar Singh
Date of Birth * 06-Dec-1999
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Dehad, sonbarsa, saharsa-852129
Mobile No. 7349826276
Email Address adarshanandrajut999@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