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Apprise Institute of Computing
Hari Mohan Gali, Salempur Chapra 841301
Kumar Bhwan, Umanagr Chapra 841301
9431426600 | ask@offerplant.com | https://apprise.morg.in/apprise/
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| Application Form |
Registration No.
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Name of Candidate
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Mother's Name
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Father's Name
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Date of Birth
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Mobile No. : |
| Gender : |
Nationality : |
Address
| V | I | L | L | - | | P | R | E | M | | N | A | G | A | R | , | | P | A | T | E | L | N | A | G | A | R | , | C | E | N | T | R | A |
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| Pincode. : |
Date of Admission
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Email Address
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| Course Details |
Course Name
| D | i | p | l | o | m | a | | i | n | | C | o | m | p | u | t | e | r | | A | p | p | l | i | c | a | t | i | o | n | | | | |
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Course Code
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Course Duration
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| Center Details |
Center Name
| W | i | z | a | r | d | - | T | e | c | h | | C | O | M | P | U | T | E | R | | C | E | N | T | R | E | | | | | | | | |
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Center Code
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Center Address
| G | a | r | h | p | a | r | , | | B | i | h | a | r | | S | h | a | r | i | f | , | | N | a | l | a | n | d | a | , | | B | i | h |
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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 : 12/Oct/2023 01:39 AM
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Authorized Signatory
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