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Application Form | ||||
| Name of Candidate | Mohan Kumar Singh |
911012070170 
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| Mother's Name | Poonam Devi | |||
| Father's Name | Vinod Kumar Singh | |||
| Date of Birth * | 14-Sep-2001 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | VILL BHATU BIHGA, WARD NO-1, PO EKSARA, PS BEN, DIST NALANDA 803114 | |||
| Mobile No. | 6205709299 | |||
| Email Address | mohansingh821051@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 | 91101207 | |||
| Center Name | Institute of Computer Technology | |||
| Center Address | Garh Par,Bihar Sharif-803101 | |||
| 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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