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Application Form

Name of Candidate Jitendra Kumar
911021100019

Student Photo Not Available
Mother's Name Anita Devi
Father's Name Vijay Goswami
Date of Birth * 05-Nov-1999
Gender MALE
Nationality INDIAN
Present Address vill + po + ps - khodaganj, dist - nalanda, bihar 801303
Mobile No. 7546008942
Email Address jitendrakumarkkt1999@gmail.com

Course Details

Course Name /Code Computer Typing (Comp. Typing)
Course Duration 12 Months

Center Details

Center Code 91102110
Center Name Suraj Cyber Zone And Computer Education
Center Address Khodaganj
Date of Admisison 24-Mar-2021
Decleration

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

Place: _______________

Date : _______________

Authorized Signatory