Shivam Das-109160200964

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 Das
Reg. No. 109160200964

Student Photo Not Available
Mother's Name : Usha Dev
Father's Name : Chhotan Das
Date of Birth * : 14-May-2011
Gender : MALE
Nationality : INDIAN
Present Address : GALI NO-7 MAMURA SEC-66 NOIDA-UP-201301
Mobile No. : 7856089600
Email Address : SHIVAM78560KUMAR@GMAIL.COM

Course Details

Course Name /Code : Diploma in Computer Application (DCA)
Course Duration : 6 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 : 02-Jan-2026

Signature of Student

Center Details

Center Code : 10916020

Verified By
Center Name : OM Computer Training Institute
Center Address : Mamura, Sector-66, Noida, U.P., (Gautam Buddh Nagar)
ID Proof
Educational Proof