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Application Form | ||||
| Name of Candidate | Satya Prakash Bhaskar |
911021211547 
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| Mother's Name | Rinku Devi | |||
| Father's Name | Bhanu Pratap Bhaskar | |||
| Date of Birth * | 15-Dec-2003 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | VILL-TARWAN, PS- M.H. NAGAR HASANPURA, PO-TARWAN PARSA, SIWAN-841240 | |||
| Mobile No. | 9525190706 | |||
| Email Address | satyayadav9525@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 | 91102121 | |||
| Center Name | Vedanta Computer Centre | |||
| Center Address | Chakkar Chowk | |||
| 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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