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Application Form | ||||
| Name of Candidate | Suman Upadhyay |
911041400103 
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| Mother's Name | Kamini Devi | |||
| Father's Name | Mahendra Chandra Upadhyay | |||
| Date of Birth * | 07-Jan-1995 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Mahdeo lal lane, Krishna Nagar kutubganj, mirjanhat, Bhagalpur -812005 | |||
| Mobile No. | 9110043074 | |||
| Email Address | sp7302688@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 | 91104140 | |||
| Center Name | Computer Institute of Technology | |||
| Center Address | Mirjanhat | |||
| 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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