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Application Form | ||||
| Name of Candidate | Mithlesh Kumar |
911012230019 
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| Mother's Name | Shila Devi | |||
| Father's Name | Ram Sevak Mahto | |||
| Date of Birth * | 04-Jan-2002 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | RAM KUNJ TOLA, WARD NO. 4, NEAR DAMAN JI KE POKHAR, VILL+PO+PS- SINGHWARA, DIST DARBHANGA, PIN 847123 | |||
| Mobile No. | 9234628020 | |||
| Email Address | sudhir.sf@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 | 91101223 | |||
| Center Name | Vedanta Computer Centre | |||
| Center Address | Opp.Patna Central Mall,Fraser Road | |||
| 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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