Srishti Shukla-909180201301

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 : Srishti Shukla
Reg. No. 909180201301

Student Photo Not Available
Mother's Name : Sushma Shukla
Father's Name : Ramesh Shukla
Date of Birth * : 12-Sep-2003
Gender : FEMALE
Nationality : INDIAN
Present Address : CHHAJARSI SETOR 63 GAUTAM BUDDHA NAGAR NOIDA
Mobile No. : 9599784056
Email Address : srishtishukla12345@gmail.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 : 01-May-2023

Signature of Student

Center Details

Center Code : 90918020

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