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Application Form | ||||
| Name of Candidate | Sameena Khatun |
911073320002 
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| Mother's Name | Bibi Meharun | |||
| Father's Name | Md Enul | |||
| Date of Birth * | 31-Mar-2003 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | AT-DIHTOLA, LAUDH , LAURH SUPAUL, BIHAR, 852131 | |||
| Mobile No. | 7870406616 | |||
| Email Address | smritikri42014@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 | 91107332 | |||
| Center Name | S.S.Computer Centre | |||
| Center Address | Ithari Hardi West | |||
| 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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