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Application Form

Name of Candidate Rubi Kumar
911004012737

Student Photo Not Available
Mother's Name Phool Kumari Devi
Father's Name Dashrath Raj
Date of Birth * 05-Oct-2001
Gender FEMALE
Nationality INDIAN
Present Address Municipal Chouk ke Uttar , Dahiyawan Tola , Chapra Saran
Mobile No. 6203992891
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