Application Form

Name of Candidate Prakash Kumar
911021211278

Student Photo Not Available
Mother's Name Neeru Devi
Father's Name Chandeshwar Thakur
Date of Birth * 21-Feb-1993
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address VILL-SERNA, PO+PS-KANTI, MUZAFFARPUR
Mobile No. 6200752653
Email Address mr.prakashthakur29@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