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-D50
1
Name of Candidate
Sonu Kumar
59858b1590d29b80c4ac9802a3cb92f01a82f.jpg
Mother's Name
Kalavati Devi
Father's Name
Salik Mandal
Date of Birth
18-12-2002
Mobile No. :
9334264592
Gender :
MALE
Nationality :
INDIAN
Address
AT-ASSI , POST- MAKAITA, PS-DHANKUN
D
Email Address
ksonu009725@gmail.com
Date of Admission
16-12-2023
Pincode. :
Course Details
Course Name
Advance Diploma in Computer Applica
tion
Course Code
ADCA
Course Duration
12 Months
Center Details
Center Name & Code
MOTHER TERESA DIGITAL EDUCATION (C0
11)
Center Address
At-Dhankund Post-Makaita PS-Dhankun
d Dist-Banka-813105
Decleration

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

Place: _______________

Date : 31/Jan/2025 05:16 PM

Authorized Signatory