info@icaedu.in| https://icaedu.co.in/
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Application Form | ||||
| Name of Candidate | Md Kaif |
911028120062 
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| Mother's Name | Sangita Devi | |||
| Father's Name | Kamruddin Ansari | |||
| Date of Birth * | 14-Mar-2002 | |||
| Gender | MALE | |||
| Nationality | INDIAN | |||
| Present Address | Village+ post -rupsagar district -buxar Bihar 802129 | |||
| Mobile No. | 9693096471 | |||
| Email Address | mdkaif4545000@gmail.com | |||
Course Details |
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| Course Name /Code | Diploma in Fire & Safety Engineering (DFSE) | |||
| Course Duration | 12 Months | |||
Center Details |
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| Center Code | 91102812 | |||
| Center Name | Soft Tech Computer Centre | |||
| Center Address | Lachwar (Mirganj) | |||
| Date of Admisison | 05-Dec-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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