David-250703010000

A division of
OM Computer Training Institute
Regd. Under Companies Act | Ministry of Corporates Affairs Govt of India
Regd Office : E-84, Gali No. 4, New Ashok Nagar, Near Dashmesh Public School, Vasundhra Enclave, New Delhi, 110096
Application Form

Student Details

Name of Candidate : David
Reg. No. 250703010000

Student Photo Not Available
Mother's Name : Rajni Kasyap
Father's Name : Gaurav
Date of Birth * : 09-Apr-2014
Gender : MALE
Nationality : INDIAN
Present Address : House Number - 321, Chauhan, Mohalla, Jasola Village, South Delhi - 110025
Mobile No. : 8130475726
Email Address : da9680600@gmail.com

Course Details

Course Name /Code : Certificate in Computer Application (CCA)
Course Duration : 3 Months

Attached Document

Identity Proof : Download
Educational Certificate : Sorry No Attachment
Decleration

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

Place: , New Delhi
Date : 06-Dec-2023

Signature of Student

Center Details

Center Code : 25070301

Verified By
Center Name : OM Computer Training Institute
Center Address : Jasola Village, Delhi-25, (New Delhi)
ID Proof
Educational Proof