Application Form

Name of Candidate Priyanka Kumari
911021210501

Student Photo Not Available
Mother's Name Sumitra Devi
Father's Name Alakh Paswan
Date of Birth * 01-Apr-1993
Gender FEMALE
Enrollment No.
Nationality INDIAN
Present Address NAYATOLA SPEAKER ROAD,HP GAS AGENCY,MUZAFFARPUR
Mobile No. 9128004376
Email Address sumitsuman.1988@gmail.com

Course Details

Course Name /Code Diploma in Computer Application (DCA)
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