|
||||
Application Form | ||||
| Name of Candidate | Shubham Raj |
911021212035 
|
||
| Mother's Name | Usha Kumari | |||
| Father's Name | Sanjay Kumar | |||
| Date of Birth * | 16-May-2000 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | VILL-MAHAMADPUR BALMI, TOLA PURANI BAZAR, PO-MOTIPUR, MUZAFFARPUR | |||
| Mobile No. | 9915411524 | |||
| Email Address | shubhamraj16052000@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 |
|||
|
| ||||