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Application Form | ||||
| Name of Candidate | Pankaj Kumar Sharma |
911021210405 
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| Mother's Name | Lalsa Devi | |||
| Father's Name | Umeshwar Sharma | |||
| Date of Birth * | 01-Jan-1997 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | VILL-DERWA,PO-KESARIYA, EAST CHAMPARAN-845424 | |||
| Mobile No. | 6205240943 | |||
| Email Address | pks845424@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 | 91102121 | |||
| Center Name | Vedanta Computer Centre | |||
| Center Address | Chakkar 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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