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Application Form | ||||
Name of Candidate | Santanu Sonowal |
911822010140 |
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Mother's Name | Minakshi Sonowal | |||
Father's Name | Ajit Kumar Sonowal | |||
Date of Birth * | 11-Mar-1996 | |||
Gender | MALE | |||
Nationality | INDIAN | |||
Present Address | VILL-NO2 SILAGAON,P.O-SILABALI,P.S-SILAPATHAR,787059 | |||
Mobile No. | 8721866854 | |||
Email Address | ||||
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 | 91182201 | |||
Center Name | Silapathar Computer Education Center | |||
Center Address | Silapathar | |||
Date of Admisison | 09-Dec-2018 | |||
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 |