Application Form

Name of Candidate Md Shahid Raza
911021210820

Student Photo Not Available
Mother's Name Ameena Khatoon
Father's Name Md Tahir
Date of Birth * 15-Feb-2001
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address VILL-DAMODARI, PO-BISHUNDATTPUR, PS-KANTI, MUZAFFARPUR
Mobile No. 6200462158
Email Address rajaalam012345678@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