Deepak Chaurasiya-960707010849

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 : Deepak Chaurasiya
Reg. No. 960707010849

Student Photo Not Available
Mother's Name : Usha Devi
Father's Name : Vinod Chaurasiya
Date of Birth * : 25-Oct-2006
Gender : MALE
Nationality : INDIAN
Present Address : h.No :- 347, Dinesh Singh Building , Pratap Chowk , Vasundhra Enc. Delhi-96
Mobile No. : 9355475616
Email Address : chaurasiya110096@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: , East Delhi
Date : 24-Mar-2023

Signature of Student

Center Details

Center Code : 96070701

Verified By
Center Name : OM Computer Training Institute
Center Address : D-288 , New Ashok Nagar, Delhi-96, (East Delhi)
ID Proof
Educational Proof