info@icaedu.in| https://icaedu.co.in/
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Application Form | ||||
| Name of Candidate | Mubarak Ansari |
911039032212 
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| Mother's Name | Amna Khatun | |||
| Father's Name | Sagir Ansari | |||
| Date of Birth * | 08-Feb-2005 | |||
| Gender | MALE | |||
| Nationality | INDIAN | |||
| Present Address | Katihae | |||
| Mobile No. | 8084891594 | |||
| Email Address | pawan2017raj@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 | 91103903 | |||
| Center Name | Megatech Computer Classes | |||
| Center Address | Amdabad | |||
| 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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