Application Form

Name of Candidate Sandeep Kumar
911021210957

Student Photo Not Available
Mother's Name Lalita Devi
Father's Name Baleshwar Ray
Date of Birth * 05-Apr-2003
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address DHARO PALI, MUZAFFARPUR-843125
Mobile No. 9117760076
Email Address www.sandeepkumar911776@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