info@icaedu.in| https://icaedu.co.in/
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Application Form | ||||
| Name of Candidate | Km Shiwani Rai |
911028100020 
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| Mother's Name | Gayatri Devi | |||
| Father's Name | Jay Shankar Rai | |||
| Date of Birth * | 14-Nov-1993 | |||
| Gender | FEMALE | |||
| Nationality | INDIAN | |||
| Present Address | AT-GANUARIA PO-BHARAHE CHAURA DIST-DEORIA UP 274701 | |||
| Mobile No. | 7766912220 | |||
| 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 | 91102810 | |||
| Center Name | Soft Tech Computer Training Centre | |||
| Center Address | Bathua Bazar | |||
| Date of Admisison | 12-Oct-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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