Shagufta Parween-250703020037

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 : Shagufta Parween
Reg. No. 250703020037

Student Photo Not Available
Mother's Name : Zahida Khatoon
Father's Name : Syed Ahmad
Date of Birth * : 15-Dec-1977
Gender : FEMALE
Nationality : INDIAN
Present Address : 25/4, 4th Floor, Joga Bai, Jamia Nagar, New Delhi - 110025
Mobile No. : 6201377228
Email Address :

Course Details

Course Name /Code : Certificate in Computer Application (CCA)
Course Duration : 3 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: , New Delhi
Date : 09-Feb-2024

Signature of Student

Center Details

Center Code : 25070302

Verified By
Center Name : OM C.T.I.
Center Address : Jaogabai Extn. Jamia Nagar, Delhi-25, (New Delhi)
ID Proof
Educational Proof