info@icaedu.in| https://icaedu.co.in/
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Application Form | ||||
| Name of Candidate | Jyoti Kumari |
911008010640 
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| Mother's Name | Lakho Devi | |||
| Father's Name | Ravindra Prasad Sah | |||
| Date of Birth * | 01-Jan-1996 | |||
| Gender | FEMALE | |||
| Nationality | INDIAN | |||
| Present Address | AT+PO+PS ASARGANJ DIST MUNGER PIN CODE 813201 | |||
| Mobile No. | 6369416849 | |||
| Email Address | ||||
Course Details |
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| Course Name /Code | Advance Diploma in Beautician (ADB) | |||
| Course Duration | 12 Months | |||
Center Details |
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| Center Code | 91100801 | |||
| Center Name | Maa Kalyani Computer Centre | |||
| Center Address | Asarganj | |||
| Date of Admisison | 01-Jan-1970 | |||
| 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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