info@icaedu.in| https://icaedu.co.in/
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Application Form | ||||
| Name of Candidate | Deepak Kumar |
911046010117 
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| Mother's Name | Manorama Devi | |||
| Father's Name | Satyendra Narayan Singh | |||
| Date of Birth * | 15-Oct-1990 | |||
| Gender | MALE | |||
| Nationality | INDIAN | |||
| Present Address | ram-nagar,p.o-chandwa, p.s-Nawada Ara Bhojpur PIN:- 802312 | |||
| Mobile No. | 9430533254 | |||
| Email Address | dipusingh3ara@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 | 91104601 | |||
| Center Name | RCSM Computer Center | |||
| Center Address | Near LIC Office | |||
| Date of Admisison | 30-May-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 |
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