Application Form

Name of Candidate Nikhil Gautam
911021210815

Student Photo Not Available
Mother's Name Ragni Devi
Father's Name Radhey Shyam Singh
Date of Birth * 12-Oct-1998
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address R R RESIDENCY, AASHIRWAD CAMPUS, CHAINPUR, BAIKUNTHNAGAR, BHAGWANPUR, MUZAFFARPUR
Mobile No. 6205896192
Email Address nikhil1298gautam@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