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Application Form | ||||
| Name of Candidate | Rehana Perween |
911052220268 
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| Mother's Name | Chanda Khatoon | |||
| Father's Name | Md Israil Khan | |||
| Date of Birth * | 17-May-1995 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | D/O MD Israil Khan, ward no. 7 near mujib girls,Miscot, Motihari East Champaran Bihar 845401 | |||
| Mobile No. | 7492078577 | |||
| Email Address | parwindauly@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 | 91105222 | |||
| Center Name | PDS Computer Education | |||
| Center Address | Motihari | |||
| 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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