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Application Form | ||||
| Name of Candidate | Pushpraj Singh |
911042270001 
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| Mother's Name | Raj Kumari Devi | |||
| Father's Name | Ramnath Singh | |||
| Date of Birth * | 15-May-1993 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | VILL-Gokhla ,P.O-Mirzachouki,Sarkanda,Bhagalpur,813209 Bihar | |||
| Mobile No. | 7549965915 | |||
| 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 | 91104227 | |||
| Center Name | Sterliate Computer Academy | |||
| Center Address | Jhikuli,Sangrampur-813212 | |||
| 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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