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Application Form | |||||||||||||||
| Name of Candidate | Shubham Raj |
911012740034 
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| Mother's Name | Anita Devi | ||||||||||||||
| Father's Name | Sunil Prasad Chaurasiya | ||||||||||||||
| Date of Birth * | 04-Mar-2001 | ||||||||||||||
| Gender | MALE | ||||||||||||||
| Enrollment No. | |||||||||||||||
| Nationality | INDIAN | ||||||||||||||
| Present Address | C/O-SUNIL PRASAD CHAURASIYA,NARDIGANJ,VTC: NARDIGANJ
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Mobile No. |
6205240237 |
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Email Address |
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Course Details | |||||||
| Course Name /Code | Advance Diploma in Computer Application (ADCA) | ||||||||||||||
| Course Duration | 12 Months | ||||||||||||||
Center Details |
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| Center Code | 91101274 | ||||||||||||||
| Center Name | Drishti Computer Institute | ||||||||||||||
| Center Address | Naisarai, 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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