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Application Form | ||||
| Name of Candidate | Abc |
ster10110008 
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| Mother's Name | Xyz | |||
| Father's Name | Qwe | |||
| Date of Birth * | 25-Jun-1988 | |||
| Gender | MALE | |||
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| Nationality | INDIAN | |||
| Present Address | darshan nagar | |||
| Mobile No. | 7301130320 | |||
| Email Address | kumarsurendra79@gmail.com | |||
Course Details |
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| Course Name /Code | Advance Diploma in Beautician (ADB ) | |||
| Course Duration | 12 Months | |||
Center Details |
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| 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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