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Application Form | ||||
| Name of Candidate | Suraj Kumar |
911084580036 
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| Mother's Name | Sima Devi | |||
| Father's Name | Pramod Ram | |||
| Date of Birth * | 01-Apr-2009 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | C/O:- PRAMOD RAM, VILL-EKDARI, PO-EKDARI, PS-CHAURADANO, VIA-CHAURADANO, DIST-EAST CHAMPARAN BIHAR-845302 | |||
| Mobile No. | 6201730046 | |||
| Email Address | adrashrooy@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 | 91108458 | |||
| Center Name | Tejas Computer Education | |||
| Center Address | Chauradano | |||
| 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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