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Application Form | ||||
| Name of Candidate | Fatma Parween |
911012740234 
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| Mother's Name | Farhat Khanan | |||
| Father's Name | Mohammad Amin Uddin | |||
| Date of Birth * | 15-Oct-1998 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | D/O Mohammad Amin Uddin, Mohalla-Chhajju Khaja Ahmad Pur, Post-Biharsharif,, Thana-Biharsharif,, Biharsharif, Nalanda, Bihar 803101 | |||
| Mobile No. | 9304128782 | |||
| 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 | 91101274 | |||
| Center Name | Drishti Computer Institute | |||
| Center Address | Naisarai, Bihar Sharif | |||
| 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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