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Application Form | ||||
| Name of Candidate | Pooja Kumari |
911041050495 
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| Mother's Name | Maro Devi | |||
| Father's Name | Rajendra Das | |||
| Date of Birth * | 01-Jan-1994 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Ghat road sultaganj | |||
| Mobile No. | 8409660433 | |||
| Email Address | jk.5174@rediffmail.com | |||
Course Details |
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| Course Name /Code | Advance Diploma in Information Technology (ADIT) | |||
| Course Duration | 12 Months | |||
Center Details |
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| Center Code | 91104105 | |||
| Center Name | Lord Buddha Computer Institute | |||
| Center Address | Sultanganj | |||
| 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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