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Application Form | ||||
| Name of Candidate | Khushbu Verma |
911063090347 
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| Mother's Name | Shanti Devi | |||
| Father's Name | Surendra Prasad Verma | |||
| Date of Birth * | 11-Jun-1993 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Add- Neem Tola Par Nawada, Po+Ps- Nawada , Dist-Nawada, Pin Code- 805110 | |||
| Mobile No. | 8825354915 | |||
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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 | 91106309 | |||
| Center Name | A Global Computer Academy | |||
| Center Address | Wazirganj | |||
| 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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