Application Form

Name of Candidate Md. Moshahid Raza
911021210417

Student Photo Not Available
Mother's Name Nooresha Khatoon
Father's Name Kalam Uddin
Date of Birth * 20-Aug-1996
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Vill:- Muradpur PO:- Mahanth Maniyari PS:- Maniyari Dist:-Muzaffarpur 843119
Mobile No. 8002643856
Email Address 800mdraza@gmail.com

Course Details

Course Name /Code Certificate In Computer Typing (CT)
Course Duration 6 Months

Center Details

Center Code 91102121
Center Name Vedanta Computer Centre
Center Address Chakkar Chowk
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory