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Application Form

Name of Candidate Shashank Manish
911008010125

Student Photo Not Available
Mother's Name Kalyani Veema
Father's Name Bilas Poddar
Date of Birth * 03-Aug-1998
Gender MALE
Nationality INDIAN
Present Address At:- Lakhanpur,po+ps:-tarapur dist:-munger,813201 bihar
Mobile No. 9304718558
Email Address

Course Details

Course Name /Code Computer Typing (Computer Typing)
Course Duration 6 Months

Center Details

Center Code 91100801
Center Name Maa Kalyani Computer Centre
Center Address Asarganj
Date of Admisison 24-Jul-2017
Decleration

I hereby declared that all the informations are correct and true to the best of my knowledge and belief.

Place: _______________

Date : _______________

Authorized Signatory