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Application Form | ||||
| Name of Candidate | Gautam Patel |
911012510242 
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| Mother's Name | Anita Devi | |||
| Father's Name | Mahesh Prasad | |||
| Date of Birth * | 09-Sep-1999 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | vill-makanpur, po-bakra, dis- nalanda, bihar-803110 | |||
| Mobile No. | 9693784608 | |||
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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 | 91101251 | |||
| Center Name | CIT Computer Education | |||
| Center Address | Bihar Sharif | |||
| 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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