Jai Prakash-910707030004

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 : Jai Prakash
Reg. No. 910707030004

Student Photo Not Available
Mother's Name : Sunita
Father's Name : Jai Bhagwan
Date of Birth * : 07-Sep-2003
Gender : MALE
Nationality : INDIAN
Present Address : 18/146/197,Trilok Puri Delhi-91
Mobile No. : 9717169790
Email Address :

Course Details

Course Name /Code : Diploma in Computer Application (DCA)
Course Duration : 6 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 : 10-May-2023

Signature of Student

Center Details

Center Code : 91070703

Verified By
Center Name : OM Computer Training Institute
Center Address : 17/9, Trilok Puri, Delhi-91, (East Delhi)
ID Proof
Educational Proof