Suraj Kumar-960707020004

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 : Suraj Kumar
Reg. No. 960707020004

Student Photo Not Available
Mother's Name : Anita Devi
Father's Name : Satish Singh
Date of Birth * : 22-Dec-2004
Gender : MALE
Nationality : INDIAN
Present Address : A-586 New Ashok Nagar
Mobile No. : 9958157744
Email Address : omctiask2@gmail.com

Course Details

Course Name /Code : Advance Diploma in Computer Application (ADCA)
Course Duration : 12 Months

Attached Document

Identity Proof : Sorry No Attachment
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: , East Delhi
Date : 13-Aug-2021

Signature of Student

Center Details

Center Code : 96070702

Verified By
Center Name : OM Computer Training Institute
Center Address : C-2/118, New Ashok Nagar, Delhi-96, (East Delhi)
ID Proof
Educational Proof