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Application Form | ||||
| Name of Candidate | Anurag Anand |
911041180715 
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| Mother's Name | Anupriya Devi | |||
| Father's Name | Shiv Prakash Vajpaye | |||
| Date of Birth * | 08-Oct-1993 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Gosaindaspur champanagar nathnagar bhagalpur | |||
| Mobile No. | 7991121235 | |||
| Email Address | anurag.anand.035@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 | 91104118 | |||
| Center Name | Sterliate Training Institute | |||
| 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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