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Application Form | ||||
| Name of Candidate | Madan Kumar |
911021110500 
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| Mother's Name | Jipsa Devi | |||
| Father's Name | Rajkumar Mahto | |||
| Date of Birth * | 18-Aug-2002 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | AT-RAGHOPUR, BINDTOLA, POST-RAGHOPUR , KHARIK BAZAR, PS- PRAVATTA | |||
| Mobile No. | 9142005360 | |||
| Email Address | madanbindtoli@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 | 91102111 | |||
| Center Name | Aditya Institute of Information Technology | |||
| Center Address | kharik | |||
| 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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