Sameer Khan -929155010035

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 : Sameer Khan
Reg. No. 929155010035

Student Photo Not Available
Mother's Name : Amina
Father's Name : Akbar Ali
Date of Birth * : 01-Jan-2007
Gender : MALE
Nationality : INDIAN
Present Address : Village - Masjidiya Tilgadiya , Post-Jaitapur, Uttar Pradesh (271604)
Mobile No. : 9517434098
Email Address : samirkhan16042@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: , Siddharthnagar
Date : 30-Nov--0001

Signature of Student

Center Details

Center Code : 92915501

Verified By
Center Name : Deep Institute of Computer Technology
Center Address : Nagar Panchayat, Biskohar Bazar, Siddharth Nagar, U.P., (Siddharthnagar)
ID Proof
Educational Proof