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Application Form | ||||
| Name of Candidate | Premsheela Kumari |
911012740053 
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| Mother's Name | Anita Devi | |||
| Father's Name | Shashibhushan Prasad | |||
| Date of Birth * | 21-Jun-2001 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | D/O: SASHIBHUSHAN PRASAD,HALSI,SIRAKHINDI,SIRKHINDI,LAKHISARAI,BIHAR-811304 | |||
| Mobile No. | 9973800582 | |||
| 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 | 91101274 | |||
| Center Name | Drishti Computer Institute | |||
| Center Address | Naisarai, 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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