Application Form

Name of Candidate Satyam Kumar
911021210813

Student Photo Not Available
Mother's Name Mona Devi
Father's Name Sanjay Kumar Choudhary
Date of Birth * 07-May-2000
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address VILL-PATAHI HARI, PO-PATAHI, PS-SADAR,MUZAFFARPUR-843113
Mobile No. 8252129608
Email Address satyam7may@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