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Application Form | ||||
| Name of Candidate | Rajni Kant Piyush |
911041051089 
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| Mother's Name | Vijaymala Kumari Sinha | |||
| Father's Name | Anjani Kumar Sinha | |||
| Date of Birth * | 01-Mar-1981 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | at khanpur mal po khanpur mal ps bath dist bhagalpur state bihar pin 813213 | |||
| Mobile No. | 8178503442 | |||
| Email Address | coolpiyushbgp@gmail.com | |||
Course Details |
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| Course Name /Code | Certificate in Shorthand (ST) | |||
| Course Duration | 6 Months | |||
Center Details |
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| Center Code | 91104105 | |||
| Center Name | Lord Buddha Computer Institute | |||
| Center Address | Sultanganj | |||
| 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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