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Application Form | ||||
| Name of Candidate | Praphul Kumar Niranjan |
911041182555 
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| Mother's Name | Pushpalata Devi | |||
| Father's Name | Prabhash Chandra Thakur | |||
| Date of Birth * | 02-Jun-1984 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | WARD NO -01, AT- TILAKPUR DURGASTHAN, PO- TILAKPUR, P.S. - SULTANGANJ, DIST - BHAGALPUR, PIN CODE- 813213, BIHAR | |||
| Mobile No. | 9800203908 | |||
| Email Address | Praphul.Niranjan@Gmail.Com | |||
Course Details |
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| Course Name /Code | Diploma in Computer Application (DCA) | |||
| Course Duration | 6 Months | |||
Center Details |
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| Center Code | 91104118 | |||
| Center Name | Sterliate Training Institute | |||
| Center Address | Adampur | |||
| 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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