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
Email Address
Date of Admission
Pincode. :
Course Details
Course Name D i p l o m a i n C o m p u t e r A p p l i c a t i o n
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 (
Center Address S . M . C O L L E G E R O A D ,
N E A R K A L I M A N D
I R ,
C H H O T I K H A N J A R P U R ,
B H A G A L P U
Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief.
Place: _______________ 14/Feb/2025 01:12 PM
