Application Form

Name of Candidate Nilesh Kumar
911021211172

Student Photo Not Available
Mother's Name Nita Devi
Father's Name Shambhu Sharan Srivastava
Date of Birth * 02-Jan-1995
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address VILL- MANJHAN CHHAPRA, PO+PS, MEHSI, EAST CHAMPARAN-845426
Mobile No. 9708820209
Email Address nilesh9708820209@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