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Application Form | ||||
| Name of Candidate | Dhiraj Kumar |
911052170016 
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| Mother's Name | Babita Devi | |||
| Father's Name | Tarachand Baitha | |||
| Date of Birth * | 10-Apr-2000 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | AT-S 0. WARD NO-07, BARA JAIRAM, PS-CHIRAIYA, PO- BARA JIRAM, DIST-EAST CHAMPARAN BIHAR-845418 | |||
| Mobile No. | 7033874708 | |||
| Email Address | kdhiraj1557@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 | 91105217 | |||
| Center Name | Sterlite Computer Education | |||
| Center Address | Bhawanipur Zirat, Motihari-845401 | |||
| 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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