Application Form

Name of Candidate Rahul Raj
911041400226

Student Photo Not Available
Mother's Name Nisha Devi
Father's Name Dhirendra Mandal
Date of Birth * 19-Apr-2002
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Jagdishpur Bhagalpur Bihar -812001
Mobile No. 8210040109
Email Address rahulraj732500@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