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  • Personal Details: Enrollment Form

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    Shivam Gupta
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    Harish Kumar, a male student born on March 20, 1999, has enrolled in the Hammer IT program through Clat Possible to prepare for exams in 2016-2017. He provides his personal details including name, father's name, date of birth, sex, and contact information like email, address in Mahoba, S.V.M.I.C., and mobile number. His educational details note he is currently in Class 12 at S.V.M.I.C. Mahoba studying PCM. He will pay 3999 via online payment mode to enroll in the program.

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    Enrollment Form

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    Harish Kumar, a male student born on March 20, 1999, has enrolled in the Hammer IT program through Clat Possible to prepare for exams in 2016-2017. He provides his personal details including name, father's name, date of birth, sex, and contact information like email, address in Mahoba, S.V.M.I.C., and mobile number. His educational details note he is currently in Class 12 at S.V.M.I.C. Mahoba studying PCM. He will pay 3999 via online payment mode to enroll in the program.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    6 views2 pages

    Personal Details: Enrollment Form

    Uploaded by

    Shivam Gupta
    Harish Kumar, a male student born on March 20, 1999, has enrolled in the Hammer IT program through Clat Possible to prepare for exams in 2016-2017. He provides his personal details including name, father's name, date of birth, sex, and contact information like email, address in Mahoba, S.V.M.I.C., and mobile number. His educational details note he is currently in Class 12 at S.V.M.I.C. Mahoba studying PCM. He will pay 3999 via online payment mode to enroll in the program.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    Enrollment Form

    Personal Details

    Name:harish Kumar …………………………………………..

    Fathers Name:Narayan das


    ………………………………………...

    Date of birth:20/03/1999…………………………………………..

    Sex: male……………………………………………

    Contact Details

    Email:Kumar.harish142@Gmail.com………………………………………………………………………
    ……………………………………

    Address 1: Mahoba……………………………………. Education Details

    Address 2 : S.V.M.I.C. Mahoba…………………………………. School\College:

    State : …S.V.M.I.C. MAHOBA …………………………………….. Class:DROP

    City : bhopal………………………………………. Stream:PCM

    Pin : 210427…………………………………………. Payment Details

    Mobile : 73761056555 Amount:3999

    Phone : Payment Mode:ONLINE

    Other Details

    Target Exam Year:2016-2017…………………………………..


    The program you enrolled for:HAMMER IT ……………………………

    How did you hear about Clat Possible:INTERNET……………………………………….

    Date: 27/01/2017 Signature:HARISH

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