Shyam Kumar-909180101042

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 : Shyam Kumar
Reg. No. 909180101042

Student Photo Not Available
Mother's Name : Kiran Devi
Father's Name : Arun Shah
Date of Birth * : 18-May-2003
Gender : MALE
Nationality : INDIAN
Present Address : RC NO. 120, GALI NO. 13, PRAGATI VIHAR, KHORA COLONY,GZB.
Mobile No. : 8375937322
Email Address : sk9330458@gamil.com

Course Details

Course Name /Code : Advance Diploma in Computer Application (ADCA)
Course Duration : 12 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: , Ghaziabad
Date : 09-Sep-2022

Signature of Student

Center Details

Center Code : 90918010

Verified By
Center Name : OM Computer Training Institute
Center Address : Pragati Vihar, Khora Colony, (Ghaziabad)
ID Proof
Educational Proof