Application Form

Name of Candidate Chhotu Kumar
911021211742

Student Photo Not Available
Mother's Name Jairy Devi
Father's Name Rajesh Baitha
Date of Birth * 01-Jan-2004
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address OLIPUR, SITAMARHI
Mobile No. 9608002150
Email Address ck136071@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