Sachin Verma-109150100323

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 : Sachin Verma
Reg. No. 109150100323

Student Photo Not Available
Mother's Name : Laxmi Verma
Father's Name : Devraj Verma
Date of Birth * : 28-Nov-2006
Gender : MALE
Nationality : INDIAN
Present Address : c135 gali no 4 harijan basti gharoli extesion delhi 110096
Mobile No. : 9310369251
Email Address : sv195070@gmail.com

Course Details

Course Name /Code : Advance Diploma in Computer Application (ADCA)
Course Duration : 12 Months

Attached Document

Identity Proof : Download
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 : 15-Nov-2023

Signature of Student

Center Details

Center Code : 10915010

Verified By
Center Name : OM Computer Training Institute
Center Address : Makanpur, Nyay Khand 2, Indirapuram, Gzb. U.P., (Ghaziabad)
ID Proof
Educational Proof