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Application Form | ||||
| Name of Candidate | Jiya Kumari |
911041780792 
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| Mother's Name | Priyanka Kumari | |||
| Father's Name | Shashikant Kunwar | |||
| Date of Birth * | 02-Feb-2005 | |||
| Gender | FEMALE | |||
| Enrollment No. | Bgp/24/04/adca/175/16 | |||
| Nationality | INDIAN | |||
| Present Address | Gram-prashastdih,po-parashastdih,shankarpur,khawas Bhagalpur Bihar 813205 | |||
| Mobile No. | 9153274568 | |||
| Email Address | jiyakunwar090@gmail.com | |||
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 | 91104178 | |||
| Center Name | Lord Buddha Educational Trust | |||
| Center Address | Adampur | |||
| 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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