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Application Form | ||||
| Name of Candidate | Kripa Nand Mishra |
911041781502 
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| Mother's Name | Malti Devi | |||
| Father's Name | Bhuvneshwar Mishra | |||
| Date of Birth * | 01-Dec-2001 | |||
| Gender | MALE | |||
| Enrollment No. | Bgp/26/07/adca/219/15 | |||
| Nationality | INDIAN | |||
| Present Address | At+po-Nayagaon ps-bath bhagalpur bihar 813108 | |||
| Mobile No. | 9060058625 | |||
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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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