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Application Form | ||||
| Name of Candidate | Resnu Devi |
911063099999 
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| Mother's Name | ||||
| Father's Name | Test | |||
| Date of Birth * | 30-Nov--0001 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | ||||
| Mobile No. | 9431243332 | |||
| Email Address | ||||
Course Details |
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| Course Name /Code | AC Technician (ACT ) | |||
| Course Duration | 4 Months | |||
Center Details |
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| Center Code | 91106309 | |||
| Center Name | A Global Computer Academy | |||
| Center Address | Wazirganj | |||
| 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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