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Application Form

Name of Candidate Mukesh Kumar Ram
911028013036

Student Photo Not Available
Mother's Name Vinda Devi
Father's Name Gayan Chandra Ram
Date of Birth * 10-Dec-2005
Gender MALE
Nationality INDIAN
Present Address VILL- BANKIKHAL, DIST- GOPALGANJ
Mobile No. 8002783472
Email Address MUKESH@ML.COM

Course Details

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

Center Details

Center Code 91102801
Center Name Hitech Computer Education
Center Address Mirganj
Decleration

I hereby declared that all the informations are correct and true to the best of my knowledge and belief.

Place: _______________

Date : _______________

Authorized Signatory