Shivani-960707041195

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 : Shivani
Reg. No. 960707041195

Student Photo Not Available
Mother's Name : Lajja
Father's Name : Dharam Veer
Date of Birth * : 02-May-2006
Gender : FEMALE
Nationality : INDIAN
Present Address : b-299 A Harijan Basti Near Power House Kondli Delhi-96
Mobile No. : 9911124621
Email Address :

Course Details

Course Name /Code : Certificate in Computer Application (CCA)
Course Duration : 3 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: , East Delhi
Date : 08-Aug-2025

Signature of Student

Center Details

Center Code : 96070704

Verified By
Center Name : OM Computer Training Institute
Center Address : Old Kondli, New Delhi-96, (East Delhi)
ID Proof
Educational Proof