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Application Form

Name of Candidate Shubham Kumar
911046010097

Student Photo Not Available
Mother's Name Sulekha Kumari
Father's Name Yogendra Kumar Paswan
Date of Birth * 10-Oct-1999
Gender MALE
Nationality INDIAN
Present Address Vill+ po :- Jhundo, PS :- khaira, district:- Jamui Pin code:- 811314
Mobile No. 6207459135
Email Address vkp948015@gmail.com

Course Details

Course Name /Code Advance Diploma in Computer Application (ADCA)
Course Duration 12 Months

Center Details

Center Code 91104601
Center Name RCSM Computer Center
Center Address Near LIC Office
Date of Admisison 04-Jul-2022
Decleration

I hereby declared that all the informations are correct and true to the best of my knowledge and belief.

Place: _______________

Date : _______________

Authorized Signatory