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Application Form | ||||
| Name of Candidate | Ashutosh Kumar |
911041820018 
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| Mother's Name | Sanju Devi | |||
| Father's Name | Vinod Prasad Yadav | |||
| Date of Birth * | 14-Apr-2002 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | AT- NAYA TOLA ZEROMILE BARARI BHAGALPUR | |||
| Mobile No. | 9304116115 | |||
| Email Address | ashutosh077kumar@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 | 91104182 | |||
| Center Name | 3D Computer Classes | |||
| Center Address | Zeromile chowk | |||
| 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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