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Application Form | ||||
| Name of Candidate | Md Salam |
911012480130 
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| Mother's Name | Rahat Praween | |||
| Father's Name | Md Asalam Uddin | |||
| Date of Birth * | 24-Sep-2004 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Bhawani bigha, post-Nanand, thana-Silao, Nanan, Nalanda, Bihar-803115 | |||
| Mobile No. | 8210670195 | |||
| Email Address | mdsalam24092004@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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