Niti-960707021171

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 : Niti
Reg. No. 960707021171

Student Photo Not Available
Mother's Name : Madhu Kala
Father's Name : Surendra Prashad Kala
Date of Birth * : 30-Jul-2009
Gender : FEMALE
Nationality : INDIAN
Present Address : A-204 New Ashok Nagar New delhi 110096
Mobile No. : 9310230270
Email Address :

Course Details

Course Name /Code : Certificate in Computer Application (CCA)
Course Duration : 3 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: , East Delhi
Date : 04-Aug-2025

Signature of Student

Center Details

Center Code : 96070702

Verified By
Center Name : OM Computer Training Institute
Center Address : C-2/118, New Ashok Nagar, Delhi-96, (East Delhi)
ID Proof
Educational Proof