Jasmine Mirza-109160600101

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 : Jasmine Mirza
Reg. No. 109160600101

Student Photo Not Available
Mother's Name : Apsi Khatoon
Father's Name : Md Juber
Date of Birth * : 08-Jul-2005
Gender : FEMALE
Nationality : INDIAN
Present Address : NOIDA SEC 62 GAUTAM BUDDHA NAGAR NAVADA UTTAR PRADESH 201309
Mobile No. : 8595818676
Email Address : jasmine@gmail.com

Course Details

Course Name /Code : Advance Diploma in Computer Application (ADCA)
Course Duration : 12 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: , Gautam Buddh Nagar
Date : 21-May-2024

Signature of Student

Center Details

Center Code : 10916060

Verified By
Center Name : OM Computer Training Institute
Center Address : Rasulpur Nawada, Sector-62, (Gautam Buddh Nagar)
ID Proof
Educational Proof