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Application Form | ||||
| Name of Candidate | Ashish Kumar Singh |
911024100067 
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| Mother's Name | Bibha Devi | |||
| Father's Name | Rajesh Kumar Singh | |||
| Date of Birth * | 05-Jan-2001 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Vill - Gulni , PO - Gulni , PS - Shambhuganj , District - Banka (Bihar) pin - 813211 | |||
| Mobile No. | 9006484364 | |||
| Email Address | ashishask4u@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 | 91102410 | |||
| Center Name | Unique Computer Centre | |||
| Center Address | Gulni Kushaha ,Shambhu Ganj | |||
| 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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