Application Form

Name of Candidate Nitish Kumar
911021211649

Student Photo Not Available
Mother's Name Indu Devi
Father's Name Phulgen Bhagat
Date of Birth * 17-Oct-1997
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address VILL-BAJITPUR MANIYAPAR,PO+PS-MADHUBAN, EAST CHAMPARAN-845420
Mobile No. 9546210787
Email Address nitishkmr0123@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