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Application Form | ||||
| Name of Candidate | Puja Kumari |
911021210681 
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| Mother's Name | Tetar Devi | |||
| Father's Name | Sawliya Sah | |||
| Date of Birth * | 13-Jul-2002 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | CHANDRALOK CHWOK,RAILWAY COL.MUZAFFARPUR | |||
| Mobile No. | 7493080228 | |||
| Email Address | 137pujakumari@gail.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 | 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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