Mohammad Imran-960707050028

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 : Mohammad Imran
Reg. No. 960707050028

Student Photo Not Available
Mother's Name : Gulshan
Father's Name : Mohammad Aslam
Date of Birth * : 23-Sep-2008
Gender : MALE
Nationality : INDIAN
Present Address : A-18 Durga Park Dallupura Delhi-110096
Mobile No. : 9871188858
Email Address :

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: , East Delhi
Date : 24-May-2023

Signature of Student

Center Details

Center Code : 96070705

Verified By
Center Name : OM Computer Training Institute
Center Address : Dallupura, Delhi-110096, (East Delhi)
ID Proof
Educational Proof