Application Form

Name of Candidate Nitish Kumar
911045621070

Student Photo Not Available
Mother's Name Shakuntala Devi
Father's Name Arvind Kumar Verma
Date of Birth * 17-Aug-2003
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address vill pursanda po pursanda ps sikandra dist jamui pin code 811301
Mobile No. 9102854392
Email Address nitishkumarpursanda@gmail.com

Course Details

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

Center Details

Center Code 91104562
Center Name ICT COMPUTER EDUCATION
Center Address Aliganj
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory