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Application Form | ||||
| Name of Candidate | Ayush Raj |
911041011456 
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| Mother's Name | Poonam Devi | |||
| Father's Name | Ravi Prakash Singh | |||
| Date of Birth * | 05-Jan-2004 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Gram- Bhadria, PO- Bhadria, thana- amarpur, dist - Banka, Bihar - 813101 | |||
| Mobile No. | 7492841438 | |||
| Email Address | ayushraj5373@gmail.com | |||
Course Details |
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| Course Name /Code | Certificate in Desktop Publishing (DTP) | |||
| Course Duration | 3 Months | |||
Center Details |
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| Center Code | 91104101 | |||
| Center Name | Sterliate Training Institute | |||
| Center Address | Adampur chowk | |||
| 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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