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Application Form | ||||
| Name of Candidate | Lalu Prasad Yadav |
911052220165 
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| Mother's Name | Sunita Devi | |||
| Father's Name | Ramshankar Prasad Yadav | |||
| Date of Birth * | 21-May-2001 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | C/O , Ramshankar Prasad Yadav, Bhorhar, ward no. 2 sripur urf Bhagwan pur, East Champaran Bihar 845303 | |||
| Mobile No. | 6207381677 | |||
| Email Address | laluluckybhorahar@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 | 91105222 | |||
| Center Name | PDS Computer Education | |||
| Center Address | Motihari | |||
| 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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