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Application Form | ||||
| Name of Candidate | Century Tudu |
911054690008 
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| Mother's Name | Kumari Ranjani | |||
| Father's Name | Naresh Tudu | |||
| Date of Birth * | 05-May-2006 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Ward no. 7, anchal gwalpara shahpur madhepura, bihar,852115 | |||
| Mobile No. | 6287105389 | |||
| Email Address | tudu6287105389@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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