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Application Form | ||||
| Name of Candidate | Chandan Rajak |
911012480368 
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| Mother's Name | Anita Devi | |||
| Father's Name | Badhu Rajak | |||
| Date of Birth * | 15-May-1989 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Ward No-35, mohalla-sherpur dhobi tola, Post office- Bihar sharif, bihar, Nalanda,Bihar-803101 | |||
| Mobile No. | 7654443497 | |||
| Email Address | chandanrajak155@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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