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Application Form | ||||
| Name of Candidate | Md Riyaz |
911029040753 
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| Mother's Name | Rizwan Khatoon | |||
| Father's Name | Md Pappu | |||
| Date of Birth * | 10-Feb-2000 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Sikargharh tola, kila durga asthan, kahalgaon, bhagalpur, bihar,pin-813203 | |||
| Mobile No. | 7488675866 | |||
| Email Address | mdriyazclg@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 | 91102904 | |||
| Center Name | Computer Training Institute | |||
| Center Address | Kahalgaon | |||
| 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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