Shivam-800703020368

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
Reg. No. 800703020368

Student Photo Not Available
Mother's Name : Neelam
Father's Name : Deepak Kumar
Date of Birth * : 21-Nov-2014
Gender : MALE
Nationality : INDIAN
Present Address : K-I/368 GALI NO-18 SANGAM VIHAR NEW DELHI 110080
Mobile No. : 9811460282
Email Address :

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: , South Delhi
Date : 06-Mar-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