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Application Form | ||||
| Name of Candidate | Md Shahbaz |
911041051892 
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| Mother's Name | Mustakina Begam | |||
| Father's Name | Md Inam | |||
| Date of Birth * | 25-Nov-2004 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | village- alamgirpur, post- akbarnagar, dist-bhagalpur, pin no-813223, | |||
| Mobile No. | 8709301725 | |||
| Email Address | mdshabazkgn0786@gmail.com | |||
Course Details |
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| Course Name /Code | Advanced Diploma In Computer Application Plus (ADCA+) | |||
| Course Duration | 12 Months | |||
Center Details |
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| Center Code | 91104105 | |||
| Center Name | Lord Buddha Computer Institute | |||
| Center Address | Sultanganj | |||
| 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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