Siryansh Jaiswal-309160010014

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 : Siryansh Jaiswal
Reg. No. 309160010014

Student Photo Not Available
Mother's Name : Poonam Jaiswal
Father's Name : Sanjay Jaiswal
Date of Birth * : 05-Nov-2007
Gender : MALE
Nationality : INDIAN
Present Address : Sadarpur Sec-45, Noida, G.B. Nagar, uttar-Pradesh 201303
Mobile No. : 7982950445
Email Address : siryanshjaiswal0445@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 : 25-Jan-2025

Signature of Student

Center Details

Center Code : 30916001

Verified By
Center Name : OM Computer Training Institute
Center Address : Sadarpur Sector 45, Noida, (Gautam Buddh Nagar)
ID Proof
Educational Proof