Priyanka-760703010009

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 : Priyanka
Reg. No. 760703010009

Student Photo Not Available
Mother's Name : Radha
Father's Name : Tej Singh
Date of Birth * : 10-Sep-2003
Gender : FEMALE
Nationality : INDIAN
Present Address : H. No. 5, Dairy No.3, Madanpur Khadar Sarita vihar, Delhi-110076
Mobile No. : 9311760731
Email Address :

Course Details

Course Name /Code : Diploma in Computer Application (DCA)
Course Duration : 6 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: , New Delhi
Date : 01-May-2023

Signature of Student

Center Details

Center Code : 76070301

Verified By
Center Name : OM C.T.I.
Center Address : Madanpur Khadar Vill. Sarita Vihar, Delhi-76, (New Delhi)
ID Proof
Educational Proof