If you start with a flat square of paper, fold it one or more times, punch a hole through it while folded, and then unfold the square of paper, the holes will appear in different locations on the unfolded page depending on the number of folds and the placement of the hole relative to the folds.
Generally, if you fold the paper only once and punch a hole through it, then unfold the paper, the hole will appear as a single hole in the center of the unfolded page.
However, if you fold the paper multiple times and punch a hole through it, the resulting holes on the unfolded page will be a combination of overlapping circles or ovals, depending on the folds and hole placement. The exact location and shape of the holes will vary based on the folding pattern and where the hole was punched relative to the folds.