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Mass Computer Institute of Technology
(MCIT)
Registered Under Ministry of MSME Govt. of India Registration No.DL-10-0020341
An ISO 9001:2015 Certified Organization.
![Red White Minimalist Simple Modern Icon Design Tour and Travel Logo_edited.png](https://static.wixstatic.com/media/e97088_56ab974203d84ada90448cb232c61e35~mv2.png/v1/fill/w_143,h_131,al_c,q_85,usm_0.66_1.00_0.01,enc_auto/Red%20White%20Minimalist%20Simple%20Modern%20Icon%20Design%20Tour%20and%20Travel%20Logo_edited.png)
Mass Computer Institute Of Technology
Application Form
Personal Detail
Name
CHANDRAKANTA PRADHAN
Admission Status
Father Name
NALINIKANTA PRADHAN
Gender
D.O.B.
14 Apr 1995
Marital Status
Mobile No.
8920069280
Address
H NO 4312 GALI NO 10 NEAR SHIVE MANDIR KAPASHERA NEW DELHI 110037
![WhatsApp Image 2021-12-29 at 3_edited.jpg](https://static.wixstatic.com/media/e832c1_3110ef71aa664e6497affc52dbccb084~mv2.jpeg/v1/fill/w_115,h_123,al_c,q_80,usm_0.66_1.00_0.01,enc_auto/WhatsApp%20Image%202021-12-29%20at%203_edited.jpeg)
CONFIRM
Male
Single
Enrollment No.
MCIT-003769
Educational Qualifications
Qualification
10+2 Passed
Other Qualification
0
Course Detail
Course Name
Diploma in Computer Teacher Training (DCTT)
Reg. Fee
Rs. 1020/-
Fee Status
PAID
Joining Date
2 Nov 2023
Declaration
I hereby declare that all the Information furnished by me is true and Correct in my Knowledge if any thing found wrong it will be my own responsibility.
Date:
2 November 2023 at 6:30:00 pm
Signature of Student
Authorised Signatory
Stamp and Signature
![WhatsApp Image 2022-02-12 at 12.10_edited.png](https://static.wixstatic.com/media/e97088_df3922c55a004d02aeeb0d3f39b48fa7~mv2.png/v1/fill/w_117,h_114,al_c,q_85,usm_0.66_1.00_0.01,enc_auto/WhatsApp%20Image%202022-02-12%20at%2012_10_edited.png)
![sign_edited.png](https://static.wixstatic.com/media/e97088_4cb833273a964d118e6ff9635d00903f~mv2.png/v1/fill/w_142,h_90,al_c,q_85,usm_0.66_1.00_0.01,enc_auto/sign_edited.png)
MASS COMPUTER INSTITUTE OF TECHNOLOGY
Registered Under Ministry of MSME Govt. of India Registration No.DL-10-0020341
An ISO 9001:2015 Certified Organization.
Plot No. 1684, Shop No 1, Gali No. 5, Radha Krishna Mandir Road, Near Disika Medicos, Kapashera, New Delhi, Delhi 110037
Mail Us: info.mcitindia@gmail.com, Visit: www.mcitindia.com
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