Phoolkumari-760703010743

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 : Phoolkumari
Reg. No. 760703010743

Student Photo Not Available
Mother's Name : Radhika Devi
Father's Name : Suraj Nath
Date of Birth * : 15-Aug-2001
Gender : MALE
Nationality : INDIAN
Present Address : 202, New Priyanka Camp, Madanpur Khadar
Mobile No. : 8178046256
Email Address : pk6116058@gmail.com

Course Details

Course Name /Code : Advance Diploma in Computer Application (ADCA)
Course Duration : 12 Months

Attached Document

Identity Proof : Download
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 : 11-Jul-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