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Application Form | ||||
| Name of Candidate | Ansu Raj Avi |
911052220076 
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| Mother's Name | Punam Kumari | |||
| Father's Name | Rajesh Kumar | |||
| Date of Birth * | 04-Sep-2000 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | S 0- Rajesh kumar, ward no.2, masjid ke pass, kolwarwa chowk, Henry Bazar, motihari, East champaran Bihar,845401 | |||
| Mobile No. | 8434744433 | |||
| Email Address | Anshurajavi@gmail.com | |||
Course Details |
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| Course Name /Code | Post Graduate Diploma in Computer Application (PGDCA) | |||
| Course Duration | 15 Months | |||
Center Details |
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| Center Code | 91105222 | |||
| Center Name | PDS Computer Education | |||
| Center Address | Motihari | |||
| 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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