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Application Form | ||||
| Name of Candidate | Suman Das |
911072080380 
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| Mother's Name | Anita Devi | |||
| Father's Name | Ram Dular Das | |||
| Date of Birth * | 10-Oct-2006 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | VILL-HURRAHI, PO- PIPRAUN, PS-HARLAKHI, MADHUBANI, BIHAR, 847240 | |||
| Mobile No. | 9279638156 | |||
| Email Address | suman9279638156@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 | 91107208 | |||
| Center Name | Dronacharya Computer Academy | |||
| Center Address | Laheria Sarai | |||
| 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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