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Application Form | ||||
| Name of Candidate | Anshu Kumar |
911041571004 
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| Mother's Name | Rina Devi | |||
| Father's Name | Ashok Sah | |||
| Date of Birth * | 19-Aug-2006 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Ward no - 9, At+Post - Tetri, PS - Naugachia, Bhagalpur, Bihar 853204 | |||
| Mobile No. | 9709546440 | |||
| Email Address | mr.anshu1908@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 | 91104157 | |||
| Center Name | Vivek Computer Classes | |||
| Center Address | Barari,Near ITI College | |||
| 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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