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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
KARAN KUMAR
Admission Status
Father Name
DHARMENDRA KUMAR
Gender
D.O.B.
29 Oct 2011
Marital Status
Mobile No.
9973484682
Address
GALI NO 06, KAPASHERA NEW DELHI 110037
![WhatsApp Image 2021-12-29 at 3_edited.jpg](https://static.wixstatic.com/media/e832c1_a6077928ad4d488aa013b3d778c2d418~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-003765
Educational Qualifications
Qualification
Under 10th
Other Qualification
6 TH PASS
Course Detail
Course Name
Advance Diploma in Computer Application, (ADCA)
Reg. Fee
Rs. 1020/-
Fee Status
PAID
Joining Date
31 Oct 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:
31 October 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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