Application Form

Name of Candidate Shivshakti Kumar
911041400122

Student Photo Not Available
Mother's Name Ruvi Devi
Father's Name Saday Mandal
Date of Birth * 15-Jan-1996
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Rampur, ward no -4, Rampur Bhagalpur -813222
Mobile No. 8507069486
Email Address kumarshivahakti4@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