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Application Form | ||||
| Name of Candidate | Om Prakash Gautam |
911012070161 
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| Mother's Name | Chandra Vati Devi | |||
| Father's Name | Vijay Kishor Yadav | |||
| Date of Birth * | 11-Jan-1992 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | VILL-PANDITPUR, PS-RAJGIR, DIST-NALANDA, BIHAR 803116 | |||
| Mobile No. | 8409805102 | |||
| Email Address | sanjeevkumar131998@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 | 91101207 | |||
| Center Name | Institute of Computer Technology | |||
| Center Address | Garh Par,Bihar Sharif-803101 | |||
| 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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