K B A L Educational

673 -A, SECOND FLOOR ,GALI NO. 7 , GOVINDPURI, KALKAJI NEW DELHI -110019, INDIA
S. M. COLLEGE ROAD, NEAR KALI MANDIR, CHHOTI KHANJARPUR, BHAGALPUR, BIHAR -812001

7070151596 | enquiry@kbaleducation.org.in | https://kbaleducation.org.in/apprise/

Application Form
Registration No.
KB1109-862
0
Name of Candidate
Smriti Singh
Mother's Name
Father's Name
Shailendra Singh
Date of Birth
25-12-1999
Mobile No. :
Gender :
FEMALE
Nationality :
INDIAN
Address
Email Address
Date of Admission
01-01-1970
Pincode. :
Course Details
Course Name
Diploma in Computer Application
Course Code
DCA
Course Duration
6 Months
Center Details
Center Name & Code
GURUKUL PROFICINAL AND TECHNICAL IN
STITUTE (C018)
Center Address
AKASHWANI CHOWK PURNIA
Decleration

I hereby declared that all the informations are correct and true to the best of my knowledge and belief.

Place: _______________

Date : 05/Nov/2024 03:44 PM

Authorized Signatory