Shivam Chouhan-090918010013

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 : Shivam Chouhan
Reg. No. 090918010013

Student Photo Not Available
Mother's Name : Kusum Chouhan
Father's Name : Dinesh Kumar
Date of Birth * : 28-Feb-2004
Gender : MALE
Nationality : INDIAN
Present Address : A-12/223 RAJYEER COLONY GHAROLI DELHI 110096
Mobile No. : 9069569771
Email Address : Sc968755@gmil.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: , Ghaziabad
Date : 01-Jan-1970

Signature of Student

Center Details

Center Code : 90918010

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