info@icaedu.in| https://icaedu.co.in/
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Application Form | ||||
| Name of Candidate | Anjali Kumari |
911007060004 
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| Mother's Name | Mala Devi | |||
| Father's Name | Ranjeet Pandit | |||
| Date of Birth * | 16-Dec-2005 | |||
| Gender | FEMALE | |||
| Nationality | INDIAN | |||
| Present Address | VILL KAMARPOKHAR POST BASAKATTI | |||
| Mobile No. | 9797908916 | |||
| Email Address | ||||
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 | 91100706 | |||
| Center Name | Brilliant Computer Academy | |||
| Center Address | Bithauli | |||
| Date of Admisison | 14-May-2022 | |||
| 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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