Application Form

Name of Candidate Md Rizwan Raza
911021211220

Student Photo Not Available
Mother's Name Kamrun Nisha
Father's Name Md Qaiyum
Date of Birth * 23-Jan-1998
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address VILL- GOPALPUR NEURA, PO- GOPALPUR NEURA, PS-SARAIYA, MUZAFFARPUR
Mobile No. 7079722625
Email Address chhotu.thakur25081998@gmailcom

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