Application Form

Name of Candidate Rakesh Kumar
911041400034

Student Photo Not Available
Mother's Name Sunita Devi
Father's Name Ambika Kapri
Date of Birth * 18-Jun-1991
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Salempur, amarpur, Banka -813101
Mobile No. 9122372812
Email Address rakeshkr180692@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