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
3
Name of Candidate
Abhinandan Kumar
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Mother's Name
Sarita Devi
Father's Name
Parmanand Mandal
Date of Birth
12-03-2004
Mobile No. :
8863033329
Gender :
MALE
Nationality :
INDIAN
Address
AT- AMHARA ,POST- HARCHANDI BANKA 8
13105
Email Address
ABHINANDANKK88@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 : 14/Mar/2024 07:59 AM

Authorized Signatory