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Application Form | ||||
| Name of Candidate | Charu Lata |
911041010454 
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| Mother's Name | Sushama Devi | |||
| Father's Name | Dinesh Prasad Sah | |||
| Date of Birth * | 10-Aug-1998 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Barari Houshing Board Colony MIG 80 SEC 3 Bhagalpur Bihar 812003 | |||
| Mobile No. | 7644811469 | |||
| Email Address | ||||
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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