Application Form

Name of Candidate Abhishek Kumar
911021211123

Student Photo Not Available
Mother's Name Sumitra Devi
Father's Name Birendra Kumar
Date of Birth * 31-Jul-2003
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address AT- UPHRAUL, PO-BAKHAR, PS- SARAIYA, MUZAFFARPUR-843101
Mobile No. 9507202013
Email Address abhis95072@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