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Application Form | ||||
| Name of Candidate | Simran Priya |
911054690007 
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| Mother's Name | Seema Karn | |||
| Father's Name | Barun Kumar Karn | |||
| Date of Birth * | 03-Dec-2003 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | C/O: bARUN KUMAR KARN, TEJA TOLA, KATIHAR, KATIHAR, BIHAR - 854105 | |||
| Mobile No. | 8862940932 | |||
| Email Address | simranpriya03@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 | 91105469 | |||
| Center Name | Kiran"s Computer Classes | |||
| Center Address | Baccha Jail 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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