Shivam Sharma-960707030833

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 Sharma
Reg. No. 960707030833

Student Photo Not Available
Mother's Name :
Father's Name : Dinesh Sharma
Date of Birth * : 22-Dec-2007
Gender : MALE
Nationality : INDIAN
Present Address : E-412New Delhi New Ashok Nagar 110096
Mobile No. : 9811878233
Email Address : ssharma9811878233@gmail.com

Course Details

Course Name /Code : Certificate in Computer Application (CCA)
Course Duration : 3 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 : 14-Sep-2026

Signature of Student

Center Details

Center Code : 96070703

Verified By
Center Name : OM Computer Training Institute
Center Address : E-84, New Ashok Nagar, Delhi-96, (East Delhi)
ID Proof
Educational Proof