Sushank Tiwari-960707050308

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 : Sushank Tiwari
Reg. No. 960707050308

Student Photo Not Available
Mother's Name : Rani
Father's Name : Jitendar Tiwari
Date of Birth * : 22-Dec-2009
Gender : MALE
Nationality : INDIAN
Present Address : Madhupuri Post Madhupuri mainpuri Uttar Pradesh 206301
Mobile No. : 9899321310
Email Address :

Course Details

Course Name /Code : Certificate in Computer Application (CCA)
Course Duration : 3 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 : 05-Jul-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