Application Form

Name of Candidate Vishal Kumar
911021211871

Student Photo Not Available
Mother's Name Meena Devi
Father's Name Shankar Sah
Date of Birth * 30-Jan-2003
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address VILL- KHABRA, PO- KHABRA URF KIRATPUR GURDAS, MUZAFFARPUR-843146
Mobile No. 9905529099
Email Address vishal9k1u3m5a1r2268@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