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Application Form | ||||
| Name of Candidate | Deep Chand Kannaujia |
911041590947 
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| Mother's Name | Bimala Devi | |||
| Father's Name | Ram Prasad Kannaujia | |||
| Date of Birth * | 13-May-1994 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | first floor, 49/5/h/190, Opp. Jagannath temple, Karl Marx sarani, Po-Khiddirpore Kolkata west bengal 700023 | |||
| Mobile No. | 9007019347 | |||
| Email Address | deepkannaujia@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 | 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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