info@icaedu.in| https://icaedu.co.in/
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Application Form | ||||
| Name of Candidate | Surjeet Kumar Yadav |
911028120091 
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| Mother's Name | Gaoudi Devi | |||
| Father's Name | Harindra Chaudhary | |||
| Date of Birth * | 01-Aug-1989 | |||
| Gender | MALE | |||
| Nationality | INDIAN | |||
| Present Address | Village . Semra . . post . Thawe. District . Gopalganj. Bihar 841440 | |||
| Mobile No. | 9546128612 | |||
| Email Address | sujityadav33176516@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 | 91102812 | |||
| Center Name | Soft Tech Computer Centre | |||
| Center Address | Lachwar (Mirganj) | |||
| Date of Admisison | 25-Mar-2020 | |||
| 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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