Application Form

Name of Candidate Sandeep Kumar
911021211004

Student Photo Not Available
Mother's Name Sangita Devi
Father's Name Rameshawar Chaudhary
Date of Birth * 15-Jan-2001
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address KASWA MEHSI CHOWK BAZAR, PO+PS-MEHSI-845426, EAST CHAMPARAN,
Mobile No. 8002348705
Email Address sandeeprazz23732@gmail.com

Course Details

Course Name /Code Advance Diploma in Computer Application (ADCA)
Course Duration 12 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