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Application Form | ||||
| Name of Candidate | Simmi Kumari |
911041592508 
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| Mother's Name | Deji Devi | |||
| Father's Name | Kishor Kumar Verma | |||
| Date of Birth * | 05-Nov-1998 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Gram bazar, batsar choriya Banka Bihar pin code -813205 | |||
| Mobile No. | 9661094989 | |||
| Email Address | simmikumari71897@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 | 91104159 | |||
| Center Name | Lord Buddha Educational 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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