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Application Form | ||||
Name of Candidate | Mukesh Kumar Chaurasiya |
911004140248 |
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Mother's Name | Hiramati Devi | |||
Father's Name | Laxman Pd Chaurasiya | |||
Date of Birth * | 10-Oct-2000 | |||
Gender | MALE | |||
Nationality | INDIAN | |||
Present Address | Khaira | |||
Mobile No. | 8229076052 | |||
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 | 91100414 | |||
Center Name | IACT | |||
Center Address | Khaira | |||
Date of Admisison | 03-Apr-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 |