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Application Form | ||||
| Name of Candidate | Md Kaif |
911052220017 
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| Mother's Name | Shameema Khatun | |||
| Father's Name | Humayun | |||
| Date of Birth * | 17-Apr-1997 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | S o- Humayu, Harkatwa, ward no. 10, Adapur, kalwariya, East Champaran, Adapur, Bihar 845301 | |||
| Mobile No. | 7488467125 | |||
| Email Address | mdkaif3891@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 | 91105222 | |||
| Center Name | PDS Computer Education | |||
| Center Address | Motihari | |||
| 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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