Application Form

Name of Candidate Akshay Kumar
911012512146

Student Photo Not Available
Mother's Name Asha Devi
Father's Name Baburam Paswan
Date of Birth * 02-Apr-2006
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address At- manikpur, badopur, pandarak, patna , bihar -803214
Mobile No. 8292321449
Email Address akshayk40746@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