Rohit Gautam-950705010019

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 : Rohit Gautam
Reg. No. 950705010019

Student Photo Not Available
Mother's Name : Renu Kumar
Father's Name : Avdesh Kumar
Date of Birth * : 29-Aug-2007
Gender : MALE
Nationality : INDIAN
Present Address : G-120 Old seema puri Delhi 110095
Mobile No. : 9643982118
Email Address : sumit9625gautam@gmail.com

Course Details

Course Name /Code : Advance Diploma in Computer Application (ADCA)
Course Duration : 12 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 : 11-Oct-2024

Signature of Student

Center Details

Center Code : 95070501

Verified By
Center Name : OM Computer Training Institute
Center Address : H-22, Old Seema Puri, Delhi-95, (New Delhi)
ID Proof
Educational Proof