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Application Form | ||||
| Name of Candidate | Prashant Kumar Gupta |
911041140083 
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| Mother's Name | Shiromani Devi | |||
| Father's Name | Surya Narayan Sah | |||
| Date of Birth * | 01-Aug-1992 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | AT- SAH TOLA FATEHPUR, PO-FATEHPUR, PS- ZERO MILE BHAGALPUR BIHAR 813210 | |||
| Mobile No. | 8252499286 | |||
| Email Address | PRASHANTGUPTA1892@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 | 91104114 | |||
| Center Name | CTI | |||
| Center Address | NH-80, Opp.Tata Motors, Sabour | |||
| 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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