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Application Form | ||||
| Name of Candidate | Suraj Dev |
911078460224 
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| Mother's Name | Babita Devi | |||
| Father's Name | Alok Kumar Singh | |||
| Date of Birth * | 03-Oct-2001 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | s/o- alok kumar singh, panchayat valmikinagar, ward no- 06, tanki bazar valmikinagar,bhaisalotan, west champarn, bihar 845107 | |||
| Mobile No. | 8969685292 | |||
| Email Address | surajdev3100@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 | 91107846 | |||
| Center Name | Tejas Computer Institute | |||
| Center Address | Parwiniya ,Sonbarsa Kachari Road | |||
| 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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