Application Form

Name of Candidate Jayprakash Kumar
911021210760

Student Photo Not Available
Mother's Name Pramila Devi
Father's Name Nagendra Sah
Date of Birth * 11-Sep-1995
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address VILL-PAKRI, PO- JASAULI, PS-BARURAJ, MUZAFFARPUR-843141
Mobile No. 8521906500
Email Address jpgupta843141@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