Ankit Tiwari-250703010113

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 : Ankit Tiwari
Reg. No. 250703010113

Student Photo Not Available
Mother's Name : Sushma Tiwari
Father's Name : Rajendra Tiwari
Date of Birth * : 13-Jun-1991
Gender : MALE
Nationality : INDIAN
Present Address : Birahinpur, Jakhamai, Post- Tiwaripur, Kunda, Pratapgarh, Uttar Pradesh-230202
Mobile No. : 7380931296
Email Address : ankittiwari1296@gmail.com

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: , New Delhi
Date : 26-Dec-2023

Signature of Student

Center Details

Center Code : 25070301

Verified By
Center Name : OM Computer Training Institute
Center Address : Jasola Village, Delhi-25, (New Delhi)
ID Proof
Educational Proof