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Application Form | ||||
| Name of Candidate | Shiv Shankar Kamati |
911072080320 
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| Mother's Name | Munni Devi | |||
| Father's Name | Ram Prasad Kamati | |||
| Date of Birth * | 09-May-1992 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | WARD NO-44, NEAR R R PUBLIC SCHOOL, BALBHADRAPUR, LAHERIASARAI, DARBHANGA, 846001 | |||
| Mobile No. | 6200683285 | |||
| Email Address | shiv.s.kamati@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 | 91107208 | |||
| Center Name | Dronacharya Computer Academy | |||
| Center Address | Laheria Sarai | |||
| 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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