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Application Form | ||||
| Name of Candidate | Mamta Kumari |
911012740054 
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| Mother's Name | Late Seema Devi | |||
| Father's Name | Ratan Prasad Sahu | |||
| Date of Birth * | 03-Jul-1992 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | D/O RATAN PRASAD SAHU,ALAUDIA, CHANDWA LATEHAR JHARKHAND 829203 | |||
| Mobile No. | 7004173061 | |||
| Email Address | ||||
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 | 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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