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Certificate
Course
Student Name:
Upload Student Image:
Upload Student Signature:
Gender:
Male
Female
Date of Birth:
Father's Name:
Husband's Name:
Permanent Address:
Present Address:
City:
District/State:
Pin:
Martial Status:
Married
Unmarried
Nationality:
Last Qualification:
10th
12th
Graduation
Post Graduation
School/College Name:
Board/University Name:
Telephone No:
Mobile No:
Email Id:
Monthly Income:
Course Name:
Course Fee:
Course Fee
Monthly Fee:
Monthly Fee
Course Duration
Course Duration
Date:
Time Slot:
Already Know Computer:
Yes
No
Declaration
I hereby, declare that the information given in applicatin are true, complete and correct to the best of my knowledge and belief. In the event of any information being found false/incorrect ay any state, my candidate is liable to be rejected, which I shall be soly responsible.
