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Application Form | ||||
| Name of Candidate | Kaushliya Kumari |
911041601029 
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| Mother's Name | Sughanda Devi | |||
| Father's Name | Bhaggu Ray | |||
| Date of Birth * | 01-Jan-1995 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Vill-Basta Po-Sondhiya Ps-Dhoraiya Banka Bihar 813123 | |||
| Mobile No. | 9508156152 | |||
| 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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