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Application Form | ||||
| Name of Candidate | Amit Kumar |
911084580003 
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| Mother's Name | Asha Devi | |||
| Father's Name | Rampravesh Thakur | |||
| Date of Birth * | 18-Aug-2004 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | AT-PIPRA WARD NO-14, PO+PS-DARPA, VIA-CHAURADANO, DIST-EAST CHAMPARAN BIHAR | |||
| Mobile No. | 9693808505 | |||
| Email Address | ||||
Course Details |
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| Course Name /Code | Computer Typing (Computer Typing) | |||
| Course Duration | 3 Months | |||
Center Details |
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| Center Code | 91108458 | |||
| Center Name | Tejas Computer Education | |||
| Center Address | Chauradano | |||
| 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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