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Application Form | ||||
| Name of Candidate | Sumant Kumar |
911052220051 
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| Mother's Name | Sangita Devi | |||
| Father's Name | Anuthalal Prasad Yadav | |||
| Date of Birth * | 21-Mar-1999 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | S o- Anuthalal Prasad Yadav, ward no. 05, khoda,chiriya, East champaran, Belwa circle,845315 | |||
| Mobile No. | 8651502342 | |||
| Email Address | sumant.mth2018@gmail.com | |||
Course Details |
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| Course Name /Code | Post Graduate Diploma in Computer Application (PGDCA) | |||
| Course Duration | 15 Months | |||
Center Details |
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| Center Code | 91105222 | |||
| Center Name | PDS Computer Education | |||
| Center Address | Motihari | |||
| 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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