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Application Form | ||||
| Name of Candidate | Priyanshu Ranjan |
911041030546 
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| Mother's Name | Putul Devi | |||
| Father's Name | Garib Sharma | |||
| Date of Birth * | 02-Jul-1993 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | AT-519 TOLA, NEAR HANUMAN MANDIR,JOT GOVIND, JOTH GOBIND, BHAGALPUR, BIHAR, 853205 | |||
| Mobile No. | 9973896932 | |||
| Email Address | ||||
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 | 91104103 | |||
| Center Name | Sterliate Training Institute | |||
| Center Address | Sabour | |||
| 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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