Certificate Course in Computer Applications - 2024 - (11th Batch)
Date of Commencement :    24th February 2024            

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1. Name in Full (IN ENGLISH BLOCK LETTERS) *
2. Name with initials *
3. Gender *
4. Date of Birth *
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DD
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YYYY
5. National Identity Card No. : *
6. Permanent Address : *
7. (a) Contact Number 1 (WhatsApp number) *
7. (b) Contact Number 2 *
8.  Email address *
9. a. Educational Qualifications - G. C. E. (O / L)  - Year and Index Number (if not, please state) *
9. b. Educational Qualifications - G. C. E. (O / L) - Subjects and Results *
10. a. Educational Qualifications - G. C. E. (A / L)  - Year and Index Number
10. b. Educational Qualifications - G. C. E. (A / L)  - Results
11.  Any Other Educational Qualifications - ( Diploma /  Degree / any other )
12.  Work Experience (if any)
I hereby certify that the above information are true and correct,  I’m aware that my candidature may cancelled if the information provided by me found false or incorrect.  (Yes /  No) *
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