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Application Form | ||||
| Name of Candidate | Shyambabu Kumar |
911024790003 
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| Mother's Name | Sita Devi | |||
| Father's Name | Ramsnehi Chauhan | |||
| Date of Birth * | 24-Jan-2006 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | VILLAGE-DOMAWAR, POST-MASAURHA, PS-NARDIGANJ, DIST-NAWADA, BIHAR-805109 | |||
| Mobile No. | 7352823212 | |||
| 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 | 91102479 | |||
| Center Name | Kundan Computer Classes | |||
| Center Address | Nanaura, Nardiganj | |||
| 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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