Shivam-909180401805

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 : Shivam
Reg. No. 909180401805

Student Photo Not Available
Mother's Name : Sangeeta Devi
Father's Name : Mahendra Prasad
Date of Birth * : 09-Jul-2008
Gender : MALE
Nationality : INDIAN
Present Address : Shankar Vihar, khora Colony, GZB-201003
Mobile No. : 7557470551
Email Address : shivam55470@gmail.com

Course Details

Course Name /Code : Graphic Designing (GD)
Course Duration : 6 Months

Attached Document

Identity Proof : Download
Educational Certificate : Download
Decleration

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

Place: , Ghaziabad
Date : 06-Feb-2025

Signature of Student

Center Details

Center Code : 90918040

Verified By
Center Name : OM Computer Training Institute
Center Address : Mangal Bazar, Khora Colony, (Ghaziabad)
ID Proof
Educational Proof