Kumar Shiva-760703010017

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 : Kumar Shiva
Reg. No. 760703010017

Student Photo Not Available
Mother's Name : Rubby Singh
Father's Name : Late Wakil Singh
Date of Birth * : 01-Mar-2004
Gender : MALE
Nationality : INDIAN
Present Address : A-106, Madanpur, Khadar, SRT-76
Mobile No. : 8092461730
Email Address :

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: , South Delhi
Date : 14-Jun-2022

Signature of Student

Center Details

Center Code : 76070301

Verified By
Center Name : OM Computer Training Institute
Center Address : Madanpur Khadar Vill. Sarita Vihar, Delhi-110076, (South Delhi)
ID Proof
Educational Proof