Application Form

Name of Candidate Usha Kumari
911021211500

Student Photo Not Available
Mother's Name Tetari Devi
Father's Name Satyadev Ram
Date of Birth * 25-Mar-1999
Gender FEMALE
Enrollment No.
Nationality INDIAN
Present Address VILL+PO- KAMALPUR, BITHRAUL, PS-BARURAJ, MUZAFFARPUR-843111
Mobile No. 9263735416
Email Address usha843111@gmail.com

Course Details

Course Name /Code Diploma in Computer Application (DCA)
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