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Application Form | ||||
| Name of Candidate | Suraj Kumar |
911079150013 
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| Mother's Name | Vishakha Devi | |||
| Father's Name | Shambhu Poddar | |||
| Date of Birth * | 17-Apr-2002 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | AT-PARIHARPUR,POST-BIRIRANPAL,P.S-BIHARIGANJ,DIST-MADHEPURA,BIHAR,852101 | |||
| Mobile No. | 9608637709 | |||
| Email Address | surajkumar728104@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 | 91107915 | |||
| Center Name | Apex Computer Centre | |||
| Center Address | Bihariganj-852101 | |||
| 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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