Priti Mehta-090918030027

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 : Priti Mehta
Reg. No. 090918030027

Student Photo Not Available
Mother's Name : Jhupuli Devi
Father's Name : Ganga Singh
Date of Birth * : 11-Sep-2005
Gender : FEMALE
Nationality : INDIAN
Present Address : Saraswati Vihar Khora Colony Gzb.
Mobile No. : 7252875635
Email Address : pritimehta51095@gmail.com

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: , Ghaziabad
Date : 01-Jan-1970

Signature of Student

Center Details

Center Code : 90918030

Verified By
Center Name : OM Computer Training Institute
Center Address : Anil Vihar, Khora Colony, (Ghaziabad)
ID Proof
Educational Proof