info@icaedu.in| https://icaedu.co.in/
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Application Form | ||||
| Name of Candidate | Kaynat Koushar |
911008010458 
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| Mother's Name | Tashnim Koushar | |||
| Father's Name | Md Ijrail | |||
| Date of Birth * | 05-Mar-2002 | |||
| Gender | MALE | |||
| Nationality | INDIAN | |||
| Present Address | AT+PO LAKHANPUR PS TARAPUR DIST MUNGER PIN CODE 813201 | |||
| Mobile No. | 7549436165 | |||
| 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 | 91100801 | |||
| Center Name | Maa Kalyani Computer Centre | |||
| Center Address | Asarganj | |||
| Date of Admisison | 28-Sep-2017 | |||
| 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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