Application Form

Name of Candidate Avinash Pratap
911021211497

Student Photo Not Available
Mother's Name Mamta Devi
Father's Name Arun Kumar Thakur
Date of Birth * 26-Nov-1993
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address AT+PO-PAROO, PS-PAROO, MUZAFFARPUR-843112
Mobile No. 8210474676
Email Address avinashpratap349@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