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Application Form | ||||
| Name of Candidate | Manjeet Kumar Rajak |
911041720022 
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| Mother's Name | Rekha Devi | |||
| Father's Name | Ranjeet Kumar Rajak | |||
| Date of Birth * | 18-Feb-2004 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | AT- MAHANDPUR DEOPAR PO- PUSA, DIST- SAMASTIPUR, 848125 | |||
| Mobile No. | 7061851735 | |||
| Email Address | kumarmanjeet40460@gamil.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 | 91104172 | |||
| Center Name | Rashtriya Computer Prashikshan Kendr | |||
| Center Address | Sabour | |||
| 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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