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Application Form | ||||
| Name of Candidate | Shruti Shreya |
911041700028 
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| Mother's Name | Archana Bala Das | |||
| Father's Name | Arvind Kumar Das | |||
| Date of Birth * | 11-Aug-2003 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | at+po+ps-jagdishpur, district- bhagalpur, state-bihar, pin code-813105 | |||
| Mobile No. | 7635076525 | |||
| Email Address | sshriya1108@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 | 91104170 | |||
| Center Name | Vansh Computer Classes | |||
| Center Address | Jagdishpur | |||
| 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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