Application Form

Name of Candidate Amit Kumar
911021210325

Student Photo Not Available
Mother's Name Geeta Sinha
Father's Name Late Shashi Bhushan Prasad
Date of Birth * 16-Mar-1993
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address URMILA VILLA, RASULPUR ZILANI, MUZAFFARPUR
Mobile No. 7783093714
Email Address amitaryanmuz@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