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Application Form | ||||
| Name of Candidate | sushmita Kumari |
911020350049 
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| Mother's Name | Karuna Devi | |||
| Father's Name | Prem Kumar Sah | |||
| Date of Birth * | 08-Jan-1998 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Sushmita Kumari, D o - Prem Kumar Sah, At- Nathnagar Hazari Sah Lane, P.O. - Nathnagar, P.S.- Nathnagar, Dist - Bhagalpur, Bihar, 812006 | |||
| Mobile No. | 7050468983 | |||
| Email Address | sushmitabgp08@gmail.com | |||
Course Details |
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| Course Name /Code | Diploma in Computer Application (DCA) | |||
| Course Duration | 6 Months | |||
Center Details |
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| Center Code | 91102035 | |||
| Center Name | Evergreen Computer Institute | |||
| Center Address | Amarpur | |||
| 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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