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AP P LICATION FORM

Application ID : CADC0677

Application Date : 08-Sep-2021

Applied For : Computation with Python

Commencement : 21-Sep-2021

Applicant's Details

Name in Full : SANDIPAN DAS DOB : 26-May-1994   Gender : Male

Email : sandipan.das94@gmail.com Mobile No. : 9903353122

Address : 9/7, NETAJI NAGAR, REGENT ESTATE, KOLKATA - 700092, WEST BENGAL

Guardian´s Name : RABINDRA NATH DAS Guardian´s Phone : 8777281682

Academic Details
Qualification Status :
Qualification : Graduate
Passed/Completed

Discipline :INSTRUMENTATION AND CONTROL


Year and Semester :
ENGINEERING

Comment regarding your qualification :

I hereby declare that all the information given above are correct to the best of my knowledge. I agree that I will
abide by all the Rules and Regulations of CAD Centre, JU as are in force from time to time.

........................................................
Full Signature of the Candidate with date
CERTIF ICATE OF DOB
CERTIF ICATE OF REQUIRED QUALIF ICATION
CERTIF ICATE OF HIGHE S T QUALIF ICATION

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