info@icaedu.in| https://icaedu.co.in/
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Application Form | ||||
| Name of Candidate | Raushan Kumar |
911030080060 
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| Mother's Name | Kumudini Pathak | |||
| Father's Name | Dayanand Pathak | |||
| Date of Birth * | 06-Feb-1994 | |||
| Gender | MALE | |||
| Nationality | INDIAN | |||
| Present Address | VIL PO PS-SURSAND WARD NO 02 DIST-SITAMARHI BIHAR 843331 | |||
| Mobile No. | 9852784665 | |||
| Email Address | raushanpathak0@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 | 91103008 | |||
| Center Name | MB Computer Classes | |||
| Center Address | Sursand | |||
| Date of Admisison | 15-Nov-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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