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.
KB1109-796
0
Name of Candidate
Gautam Kumar Tanti
Mother's Name
Father's Name
Mahesh Tanti
Date of Birth
24-02-1989
Mobile No. :
Gender :
MALE
Nationality :
INDIAN
Address
Email Address
Date of Admission
07-02-2021
Pincode. :
Course Details
Course Name
Advance Diploma in Computer Applica
tion
Course Code
ADCA
Course Duration
12 Months
Center Details
Center Name & Code
NEO LITERATE EDUCATION OF TECHNOLOG
Y (C035)
Center Address
NSC OFFICE, MAKKHATAKIA, NAUGCHIA B
HAGALPUR
Decleration

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

Place: _______________

Date : 19/Mar/2024 07:14 PM

Authorized Signatory