K B A L Educational

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

Application Form
Registration No.
KB1109-454
3
Name of Candidate
Anima Kumari
Mother's Name
Kundan Devi
Father's Name
Rama Shankar Mishra
Date of Birth
04-05-2001
Mobile No. :
Gender :
FEMALE
Nationality :
INDIAN
Address
Email Address
Date of Admission
01-01-1970
Pincode. :
Course Details
Course Name
Advance Diploma in Computer Applica
tion
Course Code
ADCA
Course Duration
12 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 : 21/Jan/2025 07:40 PM

Authorized Signatory