Navneet Tiwari-960707050012

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 : Navneet Tiwari
Reg. No. 960707050012

Student Photo Not Available
Mother's Name : Asha Devi
Father's Name : Prabhashankar Tiwari
Date of Birth * : 14-Jul-2011
Gender : MALE
Nationality : INDIAN
Present Address : Dallupura Delhi-110096.
Mobile No. : 9717265530
Email Address :

Course Details

Course Name /Code : Certificate in Computer Application (CCA)
Course Duration : 3 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: , East Delhi
Date : 01-Jan-1970

Signature of Student

Center Details

Center Code : 96070705

Verified By
Center Name : OM Computer Training Institute
Center Address : Dallupura, Delhi-110096, (East Delhi)
ID Proof
Educational Proof