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Application Form | ||||
| Name of Candidate | Surya Bhushan Kumar |
911012070113 
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| Mother's Name | Anita Devi | |||
| Father's Name | Manoj Prasad | |||
| Date of Birth * | 15-Apr-2001 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | VILL SUGIYA PO CHARUANWAN PS SHEIKHOPUR SARAI SHEIKHPURA 811103 | |||
| Mobile No. | 8002169471 | |||
| Email Address | SARYABHUSHAN811103KR@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 | 91101207 | |||
| Center Name | Institute of Computer Technology | |||
| Center Address | Garh Par,Bihar Sharif-803101 | |||
| 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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