Application Form

Name of Candidate Ayush Kumar
911021211653

Student Photo Not Available
Mother's Name Asha Devi
Father's Name Suresh Prasad
Date of Birth * 01-Jan-2005
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address VILL+PO- GYASPUR, PS-PAROO, MUZAFFARPUR
Mobile No. 7370911963
Email Address ayushkrg544@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