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Application Form | ||||
| Name of Candidate | Kumari Punam |
911041720002 
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| Mother's Name | Manju Devi | |||
| Father's Name | Lakhanlal Mandal | |||
| Date of Birth * | 14-Feb-1988 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | vill+po-bishanpur, narayanpur,bhagalpur, 812004 | |||
| Mobile No. | 9934408141 | |||
| Email Address | dimpalkumari9905589209@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 | 91104172 | |||
| Center Name | Rashtriya Computer Prashikshan Kendr | |||
| Center Address | Sabour | |||
| 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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