Kartik Dutt-109160110434

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 : Kartik Dutt
Reg. No. 109160110434

Student Photo Not Available
Mother's Name : Savita
Father's Name : Mr Surya Dutt
Date of Birth * : 08-Aug-2006
Gender : MALE
Nationality : INDIAN
Present Address : H.no 1012 Chitrakoot colony ram nagar arthala Mohan Nagar gzb
Mobile No. : 9654490748
Email Address : Kartikdutt248@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: , Ghaziabad
Date : 09-Sep-2026

Signature of Student

Center Details

Center Code : 10916011

Verified By
Center Name : OM Computer Training Institute
Center Address : Arthala Village, Mohan Nagar, Gzb. U.P., (Ghaziabad)
ID Proof
Educational Proof