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Application Form | ||||
| Name of Candidate | Suraj Kumar |
911012512309 
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| Mother's Name | Babita Devi | |||
| Father's Name | Santosh Puri | |||
| Date of Birth * | 19-Jan-2004 | |||
| Gender | MALE | |||
| Enrollment No. | 612 | |||
| Nationality | INDIAN | |||
| Present Address | At- parasi, po- bhagan bigha, nalanda, Bihar - 803118 | |||
| Mobile No. | 8235155542 | |||
| Email Address | sksurajgiri22@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 | 91101251 | |||
| Center Name | CIT Computer Education | |||
| Center Address | 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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