info@icaedu.in| https://icaedu.co.in/
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Application Form | ||||
| Name of Candidate | Sandeep Kumar Shrivastav |
911028120083 
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| Mother's Name | Sheela Devi | |||
| Father's Name | Umesh Lal Shrivastav | |||
| Date of Birth * | 31-Jan-1992 | |||
| Gender | MALE | |||
| Nationality | INDIAN | |||
| Present Address | At . Registery office road Mirganj . Post . Mirganj . District . Gopalganj . 841438 | |||
| Mobile No. | 8340516496 | |||
| Email Address | ||||
Course Details |
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| Course Name /Code | Computer Typing (Computer Typing) | |||
| Course Duration | 6 Months | |||
Center Details |
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| Center Code | 91102812 | |||
| Center Name | Soft Tech Computer Centre | |||
| Center Address | Lachwar (Mirganj) | |||
| Date of Admisison | 24-Oct-2021 | |||
| 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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