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.
KB1109-611
2
Name of Candidate
Jitendra Kumar
Mother's Name
Father's Name
Bishnu Prasad
Date of Birth
01-02-1985
Mobile No. :
7070151596
Gender :
MALE
Nationality :
INDIAN
Address
Email Address
Date of Admission
15-11-2022
Pincode. :
Course Details
Course Name
English Typing
Course Code
ET
Course Duration
6 Months
Center Details
Center Name & Code
MOTHER TERESA DIGITAL EDUCATION (
C001)
Center Address
S.M. COLLEGE ROAD, NEAR KALI MAND
IR, CHHOTI KHANJARPUR, BHAGALPU
R(BIHAR)
Decleration

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

Place: _______________

Date : 08/Nov/2023 01:43 PM

Authorized Signatory