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Application Form | ||||
Name of Candidate | Dheeraj Kumar |
910943011001 |
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Mother's Name | Sima Devi | |||
Father's Name | Sonelal Thakur | |||
Date of Birth * | 04-Feb-2000 | |||
Gender | MALE | |||
Nationality | INDIAN | |||
Present Address | ward 16, kolhua thikha Shivhar Bihar | |||
Mobile No. | 9450058382 | |||
Email Address | keertikatra@gmail.com | |||
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 | 91094301 | |||
Center Name | Keerti Computer Institute | |||
Center Address | Katra Shivdayalganj | |||
Date of Admisison | 24-Mar-2021 | |||
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 |