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Application Form | ||||
| Name of Candidate | Anand Kumar Choudhary |
911020350058 
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| Mother's Name | Meena Devi | |||
| Father's Name | Sukhdev Choudhary | |||
| Date of Birth * | 02-Jun-1994 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Anand Kumar Choudhary, S O - Sukhdev Choudhary, At - Sahebganj Nilkothi, P.O. - Champanagar, P.S.- Lalmatia, Dist - Bhagalpur, Pin Code - 812004 | |||
| Mobile No. | 6206509004 | |||
| Email Address | ak8271269531@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 | 91102035 | |||
| Center Name | Evergreen Computer Institute | |||
| Center Address | Amarpur | |||
| 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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