Shiv Pratap-250703010042

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 : Shiv Pratap
Reg. No. 250703010042

Student Photo Not Available
Mother's Name : Poonam Devi
Father's Name : Mahendra Singh
Date of Birth * : 20-Feb-2013
Gender : MALE
Nationality : INDIAN
Present Address : Village - Shankarpur Alampur Post - Mahera , Salempur Mahera Kanpur Dehat , Uttar Pradesh - 209306
Mobile No. : 9005605084
Email Address : Shivpratapsinghshad7@gmail.com

Course Details

Course Name /Code : Certificate in Computer Application (CCA)
Course Duration : 3 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: , New Delhi
Date : 11-Dec-2023

Signature of Student

Center Details

Center Code : 25070301

Verified By
Center Name : OM Computer Training Institute
Center Address : Jasola Village, Delhi-25, (New Delhi)
ID Proof
Educational Proof