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.
KB1109-809
M
Name of Candidate
Priyesh Kumar Suman
Mother's Name
Father's Name
Ratan Prasad Yadav
Date of Birth
05-06-2003
Mobile No. :
Gender :
MALE
Nationality :
INDIAN
Address
Email Address
Date of Admission
22-12-2021
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 (
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 : 17/Feb/2024 03:51 PM

Authorized Signatory