Anurag-109160090063

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 : Anurag
Reg. No. 109160090063

Student Photo Not Available
Mother's Name : Kavita
Father's Name : Rohtash
Date of Birth * : 13-Aug-2011
Gender : MALE
Nationality : INDIAN
Present Address : H. No. 26 gali no. 02 christian nagar bagu vijay nagar ghaziabad uttar pradesh 201009
Mobile No. : 9643970675
Email Address :

Course Details

Course Name /Code : Advance Diploma in Computer Application (ADCA)
Course Duration : 12 Months

Attached Document

Identity Proof : Sorry No Attachment
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: , Gautam Buddh Nagar
Date : 23-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