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Application Form | ||||
Name of Candidate | Nilesh Mandal |
912022010123 |
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Mother's Name | Senu Mandal | |||
Father's Name | Alok Mandal | |||
Date of Birth * | 02-Aug-1995 | |||
Gender | MALE | |||
Nationality | INDIAN | |||
Present Address | Chandil | |||
Mobile No. | 9308737333 | |||
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 | 04-Jan-2017 | |||
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 |