Jyoti-910707010002

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. 910707010002

Student Photo Not Available
Mother's Name : Pratibha
Father's Name : Ramesh
Date of Birth * : 21-Feb-2001
Gender : FEMALE
Nationality : INDIAN
Present Address : 18/209, Kalyan Puri, Delhi-110091
Mobile No. : 7827308019
Email Address : omctik@gmail.com

Course Details

Course Name /Code : Advance Diploma in Computer Application (ADCA)
Course Duration : 12 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: , East Delhi
Date : 06-Sep-2022

Signature of Student

Center Details

Center Code : 91070701

Verified By
Center Name : OM Computer Training Institute
Center Address : 12/469, Kalyan Puri, Delhi-91, (East Delhi)
ID Proof
Educational Proof