Lusy-800703020001

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 : Lusy
Reg. No. 800703020001

Student Photo Not Available
Mother's Name : Juddii
Father's Name : N K Philip
Date of Birth * : 13-Mar-2003
Gender : FEMALE
Nationality : INDIAN
Present Address : D-5/497 RATIYA MARG, Sangam Vihar, Delhi-80
Mobile No. : 9315839625
Email Address :

Course Details

Course Name /Code : Diploma in Computer Application (DCA)
Course Duration : 6 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: , South Delhi
Date : 18-Apr-2023

Signature of Student

Center Details

Center Code : 80070302

Verified By
Center Name : OM Computer Training Institute
Center Address : Sangam Vihar, Delhi-80, (South Delhi)
ID Proof
Educational Proof