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Application Form | ||||
| Name of Candidate | Khushbu Kumari |
911079150040 
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| Mother's Name | Kanchan Devi | |||
| Father's Name | Ashok Mandal | |||
| Date of Birth * | 20-Feb-2001 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | At-kumarpur,POST-MANJOURA,p.s-Bihariganj,dist-madhepura bihar 852116 | |||
| Mobile No. | 8809524112 | |||
| Email Address | khushbu10111213@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 | 91107915 | |||
| Center Name | Apex Computer Centre | |||
| Center Address | Bihariganj-852101 | |||
| 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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