K B A L Educational
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Application Form
Registration No.
Name of Candidate
Mother's Name
Father's Name
Date of Birth
Mobile No. :
Gender :
Nationality :
Address
V I L L - S H I B A N C H A K , P O S T - M A K A I T A , P . S -
D H A N K U N D , B L O C K - D H O R A I Y A , D I S T - B A N K
Email Address
r i m j h i m k u m a r i 3 4 0 3 @ g m a i l . c o m
Date of Admission
Pincode. :
Course Details
Course Name
A d v a n c e D i p l o m a i n C o m p u t e r A p p l i c a
Course Code
Course Duration
Center Details
Center Name & Code
M O T H E R T E R E S A D I G I T A L E D U C A T I O N ( C 0
Center Address A t - D h a n k u n d P o s t - M a k a i t a P S - D h a n k u n
Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief.
Place: _______________
Date : 12/Feb/2025 04:30 PM
Authorized Signatory