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Application Form | ||||
| Name of Candidate | Shubham Raj |
911012740035 
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| Mother's Name | Anita Devi | |||
| Father's Name | Sunil Prasad Chaurasiya | |||
| Date of Birth * | 04-Mar-2001 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | C/O-SUNIL PRASAD CHAURASIYA,NARDIGANJ,VTC: NARDIGANJ PO: nardiganJ DISTRICT-NAWADA,BIHAR-805109 | |||
| Mobile No. | 6205240237 | |||
| Email Address | ||||
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 | 91101274 | |||
| Center Name | Drishti Computer Institute | |||
| Center Address | Naisarai, Bihar Sharif | |||
| 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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