Application Form

Name of Candidate Ankit Kumar
911021211111

Student Photo Not Available
Mother's Name Priti Devi
Father's Name Brajendra Prasad Singh
Date of Birth * 20-Jun-1996
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address VILL+PO- HAKAM BLOCK BAIKUNTHPUR, PS-MAHMMADPUR, GOPALGANJ-841409
Mobile No. 8929989199
Email Address meetwithankit@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