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Application Form | ||||
| Name of Candidate | Shri Hari Mishra |
911012480655 
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| Mother's Name | Vijay Laxmi Devi | |||
| Father's Name | Omprakash Mishra | |||
| Date of Birth * | 05-Sep-2002 | |||
| Gender | MALE | |||
| Enrollment No. | 0655 | |||
| Nationality | INDIAN | |||
| Present Address | Ward No -04, Hakimpur, PO: Sukarwalia, DIST: Buxar,Bihar - 802114 | |||
| Mobile No. | 6204647084 | |||
| Email Address | shriharimishra2002@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 | 91101248 | |||
| Center Name | Drishti Computer Institute | |||
| Center Address | Quamruddin Ganj,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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