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Application Form | ||||
| Name of Candidate | Punit Kumar Singh |
911031880001 
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| Mother's Name | Pooja Devi | |||
| Father's Name | Bikash Kumar Singh | |||
| Date of Birth * | 10-Aug-2014 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Village+Post - Bishunpur | |||
| Mobile No. | 9123225575 | |||
| Email Address | infobikashsingh@gmail.com | |||
Course Details |
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| Course Name /Code | Advanced Diploma In Computer Application Plus (ADCA+) | |||
| Course Duration | 12 Months | |||
Center Details |
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| Center Code | 91103188 | |||
| Center Name | Computer Training Institute | |||
| Center Address | Manpur | |||
| 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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