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Application Form | ||||
| Name of Candidate | Ashish Kumar |
911041570535 
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| Mother's Name | Niva Singh | |||
| Father's Name | Ravindra Kumar Singh | |||
| Date of Birth * | 11-Jul-2001 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | At-Bhikhanpur,Gumti No.-2, Bhatta Road,Ps-Eshakchak,PO-Head Post Office Bhagalpur Bihar -812001 | |||
| Mobile No. | 8103586516 | |||
| Email Address | ashishsingh11072001@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 | 91104157 | |||
| Center Name | Vivek Computer Classes | |||
| Center Address | Barari,Near ITI College | |||
| 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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