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-SCA
01
Name of Candidate
Ram Sudarshan Rajan
34663ramu.jpg
Mother's Name
Sushila Devi
Father's Name
Umesh Pandit
Date of Birth
31-05-2005
Mobile No. :
7033492524
Gender :
MALE
Nationality :
INDIAN
Address
at-ekchari ,kahalgaon bhagalpur ,81
3203
Email Address
sudarshanpandit752@gmail.com
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
SMART COMPUTER ACADEMY (C009)
Center Address
Kahalgaon
Decleration

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

Place: _______________

Date : 21/Dec/2023 02:35 PM

Authorized Signatory