Application Form

Name of Candidate Bicky Kumar
911021210740

Student Photo Not Available
Mother's Name Rina Devi
Father's Name Birendra Ray
Date of Birth * 18-Jun-2005
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address VILL-MADHOPUR, DHARFARI,DEORIA,MUZAFFARPUR-843120
Mobile No. 6204952720
Email Address vickykr2720@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