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Application Form | ||||
| Name of Candidate | Amrit Kumar |
911041020309 
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| Mother's Name | Bandana Devi | |||
| Father's Name | Raj Kumar Mandal | |||
| Date of Birth * | 01-Dec-1993 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Naya tola, thana no., post - banka , bihar - 813102 | |||
| Mobile No. | 7979988651 | |||
| Email Address | info.amritraj@gmail.com | |||
Course Details |
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| Course Name /Code | Post Graduate Diploma in Computer Application (PGDCA) | |||
| Course Duration | 15 Months | |||
Center Details |
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| Center Code | 91104102 | |||
| Center Name | Sterliate Training Institute | |||
| Center Address | Khanjarpur | |||
| 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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