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Application Form | ||||
| Name of Candidate | Saurabh Kumar Roy |
911041400112 
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| Mother's Name | Pulan Devi | |||
| Father's Name | Shyam Sundar Ray | |||
| Date of Birth * | 12-Apr-2004 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Sujiyarpur, jonka, tinpahar, sahibganj, jharkhand -816116 | |||
| Mobile No. | 7643024375 | |||
| Email Address | saurabhkumarroy910@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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