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Application Form | ||||
| Name of Candidate | Md Mumtaz Khan |
911072530059 
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| Mother's Name | Samsa Begam | |||
| Father's Name | Md Shakil Akhtar | |||
| Date of Birth * | 07-Feb-1999 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | KOTWALI CHOWK, WARD NO 29 MISHRIGANJ KOTWALI CHOWK MADHUBANI, BHAVARA MADHUBANI | |||
| Mobile No. | 7004591306 | |||
| Email Address | ||||
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 | 91107253 | |||
| Center Name | Global Computer Pathshala | |||
| Center Address | Pokharbhinda 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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