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Application Form | ||||
| Name of Candidate | Beena Bharti |
911021110440 
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| Mother's Name | Shanti Devi | |||
| Father's Name | Chhedi Ray | |||
| Date of Birth * | 02-Nov-1985 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | At+post-Bhim naga, Ward no. -06, dist- Supaul- bihar-854338 | |||
| Mobile No. | 7782984079 | |||
| Email Address | kr9906383@gmail.com | |||
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 | 91102111 | |||
| Center Name | Aditya Institute of Information Technology | |||
| Center Address | kharik | |||
| 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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