Application Form

Name of Candidate Hemant Kumar
911041400006

Student Photo Not Available
Mother's Name Usha Devi
Father's Name Brahmadev Pandit
Date of Birth * 02-Jan-2001
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Chorhar,Kharik, Bhagalpur -853202
Mobile No. 6201711132
Email Address kumarhemant9570@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