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Application Form | ||||
| Name of Candidate | Chetan Anand |
911041391234 
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| Mother's Name | Asha Sharma | |||
| Father's Name | Bijay Kumar Sharma | |||
| Date of Birth * | 19-Oct-1990 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Bijay Kumar Sharma dyodhi road barari bhagalpur bihar pin code-812003 | |||
| Mobile No. | 9504991025 | |||
| Email Address | c.anand9771@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 | 91104139 | |||
| Center Name | Lord Buddha Computer Training Centre | |||
| 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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