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Application Form | ||||
| Name of Candidate | Devanti Kumari |
911020350063 
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| Mother's Name | Asha Devi | |||
| Father's Name | Sunil Mandal | |||
| Date of Birth * | 07-May-1995 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | At- Fatehpur, P.O.- Fatehpur, P.S.- Nathnagar, Dist - Bhagalpur, State - Bihar, Pin No - 812004 | |||
| Mobile No. | 8597675085 | |||
| Email Address | abd705096@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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