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Application Form | ||||
| Name of Candidate | Anand Raj |
911041011284 
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| Mother's Name | Kundan Devi | |||
| Father's Name | Ajit Kumar | |||
| Date of Birth * | 07-Aug-2001 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Dhruvganj, Kharikbazar, Bhagalpur, Bihar, 853202 | |||
| Mobile No. | 6204119376 | |||
| Email Address | anandraj782001@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 | 91104101 | |||
| Center Name | Sterliate Training Institute | |||
| Center Address | Adampur chowk | |||
| 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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