Jyoti-109160140014

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 : Jyoti
Reg. No. 109160140014

Student Photo Not Available
Mother's Name : Shanti Devi
Father's Name : Anil
Date of Birth * : 04-Jul-2008
Gender : FEMALE
Nationality : INDIAN
Present Address : GARHI CHAUKHANDI SECTOR-68 NOIDA GAUTAM BUDDHA NAGAR 201307
Mobile No. : 9871582405
Email Address : kumarijyoti66677@gmail.com

Course Details

Course Name /Code : Advance Diploma in Computer Application (ADCA)
Course Duration : 12 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 : 25-Aug-2025

Signature of Student

Center Details

Center Code : 10916014

Verified By
Center Name : OM Computer Training Institute
Center Address : Garhi Chaukhandhi Sector. 68, (Gautam Buddh Nagar)
ID Proof
Educational Proof