Application Form

Name of Candidate Shivam Kumar
911021211257

Student Photo Not Available
Mother's Name Shyam Kala Devi
Father's Name Jitendra Thakur
Date of Birth * 19-Jul-1993
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address VILL-LALIPUR, PO-LATIPUR, PS-BATHNAHA, SITAMARHI-843322
Mobile No. 8579921373
Email Address kumarshivam9254@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