info@icaedu.in| https://icaedu.co.in/
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Application Form | ||||
| Name of Candidate | Simpi Kumari |
911009040114 
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| Mother's Name | Soni Devi | |||
| Father's Name | Prem Kumar | |||
| Date of Birth * | 07-May-1997 | |||
| Gender | FEMALE | |||
| Nationality | INDIAN | |||
| Present Address | WARD NO 01, VILL AMJADPUR PIDHAULI, PO PIDHAULI, PS TEGHRA, DIST BEGUSARAI, BIHAR 851133 | |||
| Mobile No. | 7903099934 | |||
| 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 | 91100904 | |||
| Center Name | E-Max Computer Centre | |||
| Center Address | Teghra | |||
| Date of Admisison | 03-Jun-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 |
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