Application Form

Name of Candidate Prabhakar Kumar
911021211896

Student Photo Not Available
Mother's Name Vina Devi
Father's Name Shambhu Lal Sah
Date of Birth * 19-Jan-1990
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address VILL+PO- KANTI, PS- KANTI, MUZAFFARPUR
Mobile No. 9852928567
Email Address prabhakarkumarkanti@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