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Application Form | ||||
| Name of Candidate | Punam Kumari |
911012511554 
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| Mother's Name | Chinta Devi | |||
| Father's Name | Siya Sharan Saw | |||
| Date of Birth * | 15-Jan-1992 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | at- 192, girish ghosh road, belur math, bally muniicipality,haora,west bangal - 711202 | |||
| Mobile No. | 8789522140 | |||
| 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 | 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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