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Application Form | ||||
Name of Candidate | Prakash Ranjan Kumar |
911004012899 |
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Mother's Name | Mamta Devi | |||
Father's Name | Ravindra Singh | |||
Date of Birth * | 06-Feb-1996 | |||
Gender | MALE | |||
Nationality | INDIAN | |||
Present Address | Vill+P.O- Pirari dih , Dist- Saran | |||
Mobile No. | 8084902621 | |||
Email Address | ||||
Course Details |
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Course Name /Code | Certificate in Data Entry (CDE) | |||
Course Duration | 3 Months | |||
Center Details |
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Center Code | 91100401 | |||
Center Name | Quantum Computer Academy | |||
Center Address | Salempur, Chapra | |||
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 |