Shivanshu-800703010499

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 : Shivanshu
Reg. No. 800703010499

Student Photo Not Available
Mother's Name : Shashi
Father's Name : Dharam Pal
Date of Birth * : 13-Sep-2007
Gender : MALE
Nationality : INDIAN
Present Address : F1/140, Sangam Vihar, delhi-110080
Mobile No. : 9990304745
Email Address : dharampal234567@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: , South Delhi
Date : 22-Nov-2023

Signature of Student

Center Details

Center Code : 80070301

Verified By
Center Name : OM Computer Training Institute
Center Address : Sangam Vihar, Delhi-80, (South Delhi)
ID Proof
Educational Proof