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Application Form | ||||
| Name of Candidate | Kumar Tulsi |
911012480129 
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| Mother's Name | Urmila Devi | |||
| Father's Name | Muneshwar Sah | |||
| Date of Birth * | 28-Feb-1991 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Village-Dharhara, Post office-Dharhara, Police Station-Silao, Dharhara, Nalanda, Bihar-803111 | |||
| Mobile No. | 7903687145 | |||
| Email Address | ktsinha350@gmail.com | |||
Course Details |
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| Course Name /Code | Advance Diploma in Computer Application (ADCA) | |||
| Course Duration | 12 Months | |||
Center Details |
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| Center Code | 91101248 | |||
| Center Name | Drishti Computer Institute | |||
| Center Address | Quamruddin Ganj,Bihar Sharif | |||
| 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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