info@icaedu.in| https://icaedu.co.in/
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Application Form | ||||
| Name of Candidate | Sandeep |
910943021020 
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| Mother's Name | Sandhya Devi | |||
| Father's Name | Jai Prakash Goswami | |||
| Date of Birth * | 04-May-1996 | |||
| Gender | MALE | |||
| Nationality | INDIAN | |||
| Present Address | Jhuggi no 1 - ground floor guru nanak dev colony bhaswa dairy libas | |||
| Mobile No. | 7355102800 | |||
| Email Address | kcikatra@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 | 91094302 | |||
| Center Name | NB Institute of Computer | |||
| Center Address | Kolhampur Market | |||
| Date of Admisison | 20-Jul-2022 | |||
| 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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