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Application Form | ||||
| Name of Candidate | Saba Roushan |
911041120054 
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| Mother's Name | Roushan Ara | |||
| Father's Name | Md Khurshid Alam | |||
| Date of Birth * | 08-Mar-2005 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Vill+Po- Khaira, Ps- Shahkund, Dist- Bhagalpur, Bihar, Pin- 812006 | |||
| Mobile No. | 9973946233 | |||
| Email Address | sabaroushan11@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 | 91104112 | |||
| Center Name | Sai Educational Centre | |||
| Center Address | Nathnagar | |||
| 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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