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Application Form | ||||
Name of Candidate | Sameer Ansari |
911004011896 |
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Mother's Name | Gudia Bano | |||
Father's Name | Jahangir Ansari | |||
Date of Birth * | 08-Oct-2002 | |||
Gender | MALE | |||
Nationality | INDIAN | |||
Present Address | Chapra | |||
Mobile No. | 8935846460 | |||
Email Address | ||||
Course Details |
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Course Name /Code | Diploma in Computer Application (DCA) | |||
Course Duration | 6 Months | |||
Center Details |
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Center Code | 91100401 | |||
Center Name | Quantum Computer Academy | |||
Center Address | Salempur, Chapra | |||
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 |