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Application Form | ||||
| Name of Candidate | Misran Ilyasi |
911041011058 
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| Mother's Name | Farhat Bano | |||
| Father's Name | Md Ilyas | |||
| Date of Birth * | 08-Jan-2000 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | SHAHAMAT HUSSAN LANE, BARAHPURA, JAGDISHPUR, BHAGALPUR, DIST - BHAGALPUR, STATE - BIHAR, PIN - 812001 | |||
| Mobile No. | 8541916742 | |||
| Email Address | misranilyasi33@gmail.com | |||
Course Details |
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| Course Name /Code | Advance Diploma in Computer Application (ADCA) | |||
| Course Duration | 12 Months | |||
Center Details |
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| Center Code | 91104101 | |||
| Center Name | Sterliate Training Institute | |||
| Center Address | Adampur chowk | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
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Place: _______________ Date : _______________ |
Authorized Signatory |
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