Shivani-109160700215

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. 109160700215

Student Photo Not Available
Mother's Name : Gudiya Devi
Father's Name : Naval Kishor Jha
Date of Birth * : 12-Oct-2004
Gender : FEMALE
Nationality : INDIAN
Present Address : Noida, Sec-27,Block-D-192,Up
Mobile No. : 8588916951
Email Address : ShijaJha118@Gmail.com

Course Details

Course Name /Code : Computer Typing (English)
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: , Gautam Buddh Nagar
Date : 09-Dec-2025

Signature of Student

Center Details

Center Code : 10916070

Verified By
Center Name : OM Computer Training Institute
Center Address : Barat Ghar, Gali No. 4, Sec-27, (Gautam Buddh Nagar)
ID Proof
Educational Proof