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Work Submission DateTime ( As Per The Mail )

NEXTGEN DATA SOLUTION


APPLICATION FORM
Date //..

Name of Applicant: Nitish Kumar...


Fathers / Spouse Name: Ramesh Chandra..
Address for Communication: Nitish Kumar C/o H.K.Hi-Tech College, 4-7, Near
Preksha Hospital, Main Pal Road Jodhpur Rajasthan - 342008.
City Jodhpur

State Rajasthan

Pin No. 342008

Phone R/O _____________________________Mobile +91-9783665598


E-mail ID nitishkarya2012@gmail.com
Date of Birth
2
0

(DD/MM/YY

Marital Status
Unmarried
Sex
Male
Payment Mode: D.D/Cheque No./CashDate
Bank Name..Amount.
Date _____________________
Associate Signature
Place _____________________

NEXTGEN DATA SOLUTION


Name of Applicant: .....
Address: ..
Payment Mode: D.D/Cheque No./Cash.Date.
Bank Name..Amount...

Authorized Signature
Work Submission Date ./../ Time ( As Per The Mail )
Note : This PDF Contain pages are Approximate 550 - 600

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