Shyan Ansari-909180500435

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 : Shyan Ansari
Reg. No. 909180500435

Student Photo Not Available
Mother's Name : Farhana Ansari
Father's Name : Firoz Ansari
Date of Birth * : 21-Nov-2009
Gender : MALE
Nationality : INDIAN
Present Address : vandna Enclave Khora colony Gzd (up)
Mobile No. : 9625409556
Email Address : omcti150000@gmail.com

Course Details

Course Name /Code : Diploma in Computer Application (DCA)
Course Duration : 6 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: , Ghaziabad
Date : 02-Aug-2025

Signature of Student

Center Details

Center Code : 90918050

Verified By
Center Name : OM Computer Training Institute
Center Address : Vandana Enclave, Khora Colony, (Ghaziabad)
ID Proof
Educational Proof