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Application Form | ||||
| Name of Candidate | Puja Kumari |
911041601027 
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| Mother's Name | Rajni Devi | |||
| Father's Name | Sanjay Rouat | |||
| Date of Birth * | 12-Dec-1997 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | vill-uchdiha po-babhangama ps-dhoraiya banka bihar | |||
| Mobile No. | 9031930805 | |||
| Email Address | ||||
Course Details |
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| Course Name /Code | Advance Diploma in Cutting & Tailoring (ADCT ) | |||
| Course Duration | 12 Months | |||
Center Details |
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| Center Code | 91104160 | |||
| Center Name | Amrita Mahila Silai Training Centre | |||
| Center Address | Goura Chowki | |||
| 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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