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Application Form | ||||
| Name of Candidate | Binod Kumar Sah |
911020350042 
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| Mother's Name | Sita Devi | |||
| Father's Name | Bhuwaneshwar Sah | |||
| Date of Birth * | 05-Oct-1987 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Binod Kumar Sah, S O - Bhuwaneshwar Sah, At- Srinagar, P.O. - Belhar, P.S. - Belhar, Dist. - Banka, State - Bihar, 813202 | |||
| Mobile No. | 9431442605 | |||
| Email Address | binodsatnami@gmail.com | |||
Course Details |
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| Course Name /Code | Post Graduate Diploma in Computer Application (PGDCA) | |||
| Course Duration | 15 Months | |||
Center Details |
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| Center Code | 91102035 | |||
| Center Name | Evergreen Computer Institute | |||
| Center Address | Amarpur | |||
| 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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