Shahrukh-960707030099

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 : Shahrukh
Reg. No. 960707030099

Student Photo Not Available
Mother's Name : Najni Khatun
Father's Name : Md Akbar
Date of Birth * : 23-Oct-2005
Gender : MALE
Nationality : INDIAN
Present Address : ED-24A, New Ashok Nagar Delhi-110096
Mobile No. : 8882462652
Email Address :

Course Details

Course Name /Code : Advance Diploma in Computer Application (ADCA)
Course Duration : 12 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 : 19-Jul-2023

Signature of Student

Center Details

Center Code : 96070703

Verified By
Center Name : OM C.T.I
Center Address : E-84, New Ashok Nagar, Delhi-96, (East Delhi)
ID Proof
Educational Proof