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Application Form | ||||
| Name of Candidate | Dipanshu Kumar |
911052220087 
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| Mother's Name | Malti Devi | |||
| Father's Name | Satyendra Prasad | |||
| Date of Birth * | 10-Dec-2003 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | S o- Satendra Prasad, Behind Aganbari Bari, basmanpur, Motihari, East champaran, Bihar, | |||
| Mobile No. | 9135095258 | |||
| Email Address | dipanshuraj8910@gmail.com | |||
Course Details |
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| Course Name /Code | Certificate In Computer Typing (CT) | |||
| Course Duration | 6 Months | |||
Center Details |
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| Center Code | 91105222 | |||
| Center Name | PDS Computer Education | |||
| Center Address | Motihari | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
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Place: _______________ Date : _______________ |
Authorized Signatory |
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