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Application Form | ||||
| Name of Candidate | Mohd Shamshad Alam |
911072080063 
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| Mother's Name | Buchchidai | |||
| Father's Name | Md Ibrahim Ansari | |||
| Date of Birth * | 04-Jul-1989 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | VILL-MADHEPUR, DIST-MADHUBANI,BIHAR,847408 | |||
| Mobile No. | 7549987712 | |||
| Email Address | SHAMS71456@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 | 91107208 | |||
| Center Name | Dronacharya Computer Academy | |||
| Center Address | Laheria Sarai | |||
| 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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