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Application Form | ||||
Name of Candidate | Abhishek Kumar |
911043010052 ![]() |
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Mother's Name | Mala Devi | |||
Father's Name | Jaychandra Prasad Yadav | |||
Date of Birth * | 07-Dec-1995 | |||
Gender | MALE | |||
Nationality | INDIAN | |||
Present Address | Madhepura | |||
Mobile No. | 7004727625 | |||
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 | 91104301 | |||
Center Name | IICT | |||
Center Address | Bihariganj | |||
Date of Admisison | 12-Mar-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 |