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Application Form | ||||
| Name of Candidate | Kumkum Kumari |
911078460195 
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| Mother's Name | Ranjan Devi | |||
| Father's Name | Manoj Mukhiya | |||
| Date of Birth * | 04-Mar-2004 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | aT-PARWINIYA WARD NO.01,DIWARI,SAHARSA | |||
| Mobile No. | 6206539346 | |||
| Email Address | ||||
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 | 91107846 | |||
| Center Name | Tejas Computer Institute | |||
| Center Address | Parwiniya ,Sonbarsa Kachari Road | |||
| 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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