Application Form

Name of Candidate Nitin Kumar
911078460082

Student Photo Not Available
Mother's Name Nutan Devi
Father's Name Santosh Jha
Date of Birth * 26-Nov-2001
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address BASAUNA,WARD NO -13, SAHARSA,BIHAR,852202
Mobile No. 6204744303
Email Address basaunanitin@gmail.com

Course Details

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

Center Details

Center Code 91107846
Center Name Tejas Computer Institute
Center Address Parwiniya ,Sonbarsa Kachari Road
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory