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Application Form | ||||
| Name of Candidate | Manav Raj |
911041780797 
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| Mother's Name | Vijay Kumar | |||
| Father's Name | Lushi Kumari | |||
| Date of Birth * | 08-Dec-2009 | |||
| Gender | MALE | |||
| Enrollment No. | Bgp/26/01/adca/210/09 | |||
| Nationality | INDIAN | |||
| Present Address | Madhepura govindpuri mahalla ward no. 14 Bihar 852113 | |||
| Mobile No. | 9473340729 | |||
| Email Address | yadavmohan556@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 | 91104178 | |||
| Center Name | Lord Buddha Educational Trust | |||
| Center Address | Adampur | |||
| 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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