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Application Form | ||||
| Name of Candidate | Divyesh Kumar Om |
911021410003 
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| Mother's Name | Kalyani Devi | |||
| Father's Name | Deo Krishna Kumar | |||
| Date of Birth * | 02-Jul-2002 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | belanauwad,ward no-06,ps-beldaur,khagaria-852161 | |||
| Mobile No. | 9511552098 | |||
| Email Address | infosonbarsha@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 | 91102141 | |||
| Center Name | Sunrise Academy | |||
| Center Address | Sonbarsha,Bihpur,Bhagalpur-853201 | |||
| 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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