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Application Form | ||||
| Name of Candidate | Kunal Kumar |
910711630003 
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| Mother's Name | Indu Devi | |||
| Father's Name | Sanjay Kumar Kushwaha | |||
| Date of Birth * | 02-Feb-2005 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | S/o Sanjay Kumar Kushwaha, E-87/196, Harijan Basti, Dallupura,East Delhi, Delhi - 110096 | |||
| Mobile No. | 8178082827 | |||
| Email Address | kunalkushwaha1947@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 | 91071163 | |||
| Center Name | Raj Computer Training Centre | |||
| Center Address | Dallupura | |||
| 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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