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Application Form | ||||
| Name of Candidate | Pratibha Anand |
911041590682 
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| Mother's Name | Rakhi Devi | |||
| Father's Name | Anil Kumar Rajak | |||
| Date of Birth * | 18-Mar-2003 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Kaushki Nath Jha lane nathnagar Bhagalpur Bihar 812006 | |||
| Mobile No. | 8210212308 | |||
| 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 | 91104159 | |||
| Center Name | Lord Buddha Educational Centre | |||
| Center Address | Adampur | |||
| 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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