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Application Form | ||||
Name of Candidate | Anupriya Kumari |
912022010203 |
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Mother's Name | Sarathi Wala Mahato | |||
Father's Name | Kripa Sindhu Mahato | |||
Date of Birth * | 23-Mar-2004 | |||
Gender | FEMALE | |||
Nationality | INDIAN | |||
Present Address | Chandil | |||
Mobile No. | 9931373873 | |||
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 | 91202201 | |||
Center Name | Immense Computer Academy | |||
Center Address | Chandil | |||
Date of Admisison | 02-Jan-2019 | |||
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 |