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Application Form | ||||
| Name of Candidate | Bharti |
911041520079 
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| Mother's Name | Savari Devi | |||
| Father's Name | Puran Yadav | |||
| Date of Birth * | 03-Jun-1999 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | D O - Puran Yadav, E-402, Gali No 21, Mangal Bajar Road, Swami Shrdhanand Park, Bhalaswa Dairy , North West, Delhi 110042 | |||
| Mobile No. | 8789219124 | |||
| Email Address | bhartiyadav3674@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 | 91104152 | |||
| Center Name | Evergreen Computer Training Institute | |||
| Center Address | Nathnagar | |||
| 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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