Application Form

Name of Candidate Avinash Kumar
911021210005

Student Photo Not Available
Mother's Name Manju Devi
Father's Name Suresh Prasad Chaurasiya
Date of Birth * 15-Sep-1995
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address vill,sendurai,baraitha,po ps, Motipur,Muzaffarpur-843111
Mobile No. 9955147728
Email Address munnakr5255@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