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Application Form | ||||
| Name of Candidate | Priyanka Kumari |
911041260075 
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| Mother's Name | Gita Devi | |||
| Father's Name | Late Yugal Ram | |||
| Date of Birth * | 03-Jan-2003 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Kun kun singh lane near chaman appartment lal bagh gali. Dist-patna, pincode-800006, ps-pirbahore, po- mahendru ward no-41, bihar. | |||
| Mobile No. | 9798250410 | |||
| Email Address | priyankakri03012003@gmail.com | |||
Course Details |
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| Course Name /Code | Diploma in Computer Application (DCA) | |||
| Course Duration | 6 Months | |||
Center Details |
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| Center Code | 91104126 | |||
| Center Name | Sterliate Training Institute | |||
| Center Address | Laluchak | |||
| 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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