Laxmi-109160090021

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 : Laxmi
Reg. No. 109160090021

Student Photo Not Available
Mother's Name : Koshal Devi
Father's Name : Sunder Gautam
Date of Birth * : 23-Apr-2004
Gender : FEMALE
Nationality : INDIAN
Present Address : 27/5 siddharth vihar bagu vijay nagar ghaziabad uttar pradesh - 201009
Mobile No. : 7065950819
Email Address : laxmigautam00098@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 : 13-Jan-2025

Signature of Student

Center Details

Center Code : 10916009

Verified By
Center Name : OM Computer Training Institute
Center Address : Krishna Nagar Bagu Road, (Gautam Buddh Nagar)
ID Proof
Educational Proof