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Application Form | ||||
| Name of Candidate | Pushkar Kumar |
911072080259 
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| Mother's Name | Manju Devi | |||
| Father's Name | Ranjeet Kumar Choudhary | |||
| Date of Birth * | 15-Jul-1994 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | VILL- MADHURAPUR, WARD NO-01, P.O- PUNMADHARMPUR,KALWARA,SAMASTIPUR,HAYAGHAT BILASHPUR,BIHAR,847301 | |||
| Mobile No. | 8709190824 | |||
| Email Address | pushkar.kr9608@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 | 91107208 | |||
| Center Name | Dronacharya Computer Academy | |||
| Center Address | Laheria Sarai | |||
| 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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