Application Form

Name of Candidate Utkarsh Kumar
911021211994

Student Photo Not Available
Mother's Name Guriya Pandey
Father's Name Purushotam Kumar
Date of Birth * 19-Jan-2006
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address NAWAL KISHOR NAGAR, KHABRA, MUZAFFARPUR-843146
Mobile No. 9693494349
Email Address uk2892130@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