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Praja Campus
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Full Name
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Address
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Phone Number
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Email Address
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For Pursuing Courses
Course you expect to pursue
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Certificate
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If other courses apart from the above
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L.L.B (uk)
O/L Civics Education
For Para-legal Professionals
Current Profession
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Notary Clerk
Legal Assistant
Labor Law Advisor
Community Empowerment Officer and Course Coordinator
Expected Membership
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Annual
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Declaration
I hereby declare that all the above information is true and correct.
Name
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Date
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