Shivani Rawat-109160200825

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 : Shivani Rawat
Reg. No. 109160200825

Student Photo Not Available
Mother's Name : Guddi Devi
Father's Name : Prem Singh
Date of Birth * : 01-May-2001
Gender : FEMALE
Nationality : INDIAN
Present Address : ho no. 310 gali no-2 mamura sec-66 noida
Mobile No. : 8826546421
Email Address : shivanirawat735131@gmail.com

Course Details

Course Name /Code : Diploma in Computer Application (DCA)
Course Duration : 6 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: , Gautam Buddh Nagar
Date : 02-May-2024

Signature of Student

Center Details

Center Code : 10916020

Verified By
Center Name : OM Computer Training Institute
Center Address : Mamura, Sector-66, Noida, U.P., (Gautam Buddh Nagar)
ID Proof
Educational Proof