Application Form

Name of Candidate Vivek Kumar
911021210149

Student Photo Not Available
Mother's Name Renu Devi
Father's Name Virendra Pathak
Date of Birth * 16-Sep-1998
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address VILL+PO MANIK CHWOK, SITAMARHI 843323
Mobile No. 9507252519
Email Address Vivek.manikchauk.vk@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