info@icaedu.in| https://icaedu.co.in/
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Application Form | ||||
| Name of Candidate | Vikash Kumar Yadav |
911029160115 
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| Mother's Name | Indu Devi | |||
| Father's Name | Harekrishna Yadav | |||
| Date of Birth * | 26-Oct-2002 | |||
| Gender | MALE | |||
| Nationality | INDIAN | |||
| Present Address | Village+Post, Rafipur, Ps. Mh. Nagar, Siwan, Bihar | |||
| Mobile No. | 7257926987 | |||
| Email Address | babaludda12@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 | 91102916 | |||
| Center Name | Shanti Technical Institute & Management | |||
| Center Address | Hasanpura | |||
| Date of Admisison | 04-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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