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Application Form | ||||
| Name of Candidate | Md Altaf |
911041140345 
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| Mother's Name | Bibi Shabnam | |||
| Father's Name | Md Riyaz | |||
| Date of Birth * | 12-Feb-2008 | |||
| Gender | MALE | |||
| Enrollment No. | 368 | |||
| Nationality | INDIAN | |||
| Present Address | at-fatehpur, fatehpur, bhagalpur, bihar 813233 | |||
| Mobile No. | 7673803203 | |||
| Email Address | altafmd4693@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 | 91104114 | |||
| Center Name | CTI | |||
| Center Address | NH-80, Opp.Tata Motors, Sabour | |||
| 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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