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Application Form

Name of Candidate Bablu Kumar
911004012351

Student Photo Not Available
Mother's Name Kavita Devi
Father's Name Mangroo Ray
Date of Birth * 01-Jan-2006
Gender MALE
Nationality INDIAN
Present Address At Maya Tola , Khaira , Korea, Saran
Mobile No. 9507123039
Email Address

Course Details

Course Name /Code Advance Diploma in Computer Application (ADCA)
Course Duration 12 Months

Center Details

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.

Place: _______________

Date : _______________

Authorized Signatory