Shivam Kumar-930707010146

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 : Shivam Kumar
Reg. No. 930707010146

Student Photo Not Available
Mother's Name : Reeta Devi
Father's Name : Brajesh Kumar
Date of Birth * : 19-Aug-2000
Gender : MALE
Nationality : INDIAN
Present Address : Block B5 House no -284 Nand nagri delhi-93
Mobile No. : 7248438006
Email Address : shivam7248438006@gmail.com

Course Details

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

Attached Document

Identity Proof : Sorry No Attachment
Educational Certificate : Download
Decleration

I hereby declared that all the informations are correct and true to the best of my knowledge and belief.

Place: , New Delhi
Date : 12-Mar-2025

Signature of Student

Center Details

Center Code : 93070701

Verified By
Center Name : OM Computer Training Institute
Center Address : Block B 5/4 Nand Nagri Delhi-93, (New Delhi)
ID Proof
Educational Proof