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Application Form | ||||
| Name of Candidate | Ravi Kumar Das |
911072530091 
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| Mother's Name | Chano Devi | |||
| Father's Name | Ram Sogarath Das | |||
| Date of Birth * | 10-Jan-2005 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | ward-11, vill-pirri, Post-kushouthar, Thana-Bahadurpur, Pirari, Kusothar, Darbhanga, Bihar, 847429 | |||
| Mobile No. | 6207616546 | |||
| Email Address | ||||
Course Details |
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| Course Name /Code | Advance Diploma in Computer Application (ADCA) | |||
| Course Duration | 12 Months | |||
Center Details |
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| Center Code | 91107253 | |||
| Center Name | Global Computer Pathshala | |||
| Center Address | Pokharbhinda Chowk | |||
| 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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