Shiva Chauhan-309160010133

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 : Shiva Chauhan
Reg. No. 309160010133

Student Photo Not Available
Mother's Name : Neetu Chauhan
Father's Name : Naresh Chauhan
Date of Birth * : 06-Aug-2012
Gender : MALE
Nationality : INDIAN
Present Address : Sadarpur Sec-45, Gautambuddh Nagar, Uttar Pradesh, Noida
Mobile No. : 9891415695
Email Address :

Course Details

Course Name /Code : Certificate in Computer Application (CCA)
Course Duration : 3 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: , Gautam Buddh Nagar
Date : 10-Apr-2025

Signature of Student

Center Details

Center Code : 30916001

Verified By
Center Name : OM Computer Training Institute
Center Address : Sadarpur Sector 45, Noida, (Gautam Buddh Nagar)
ID Proof
Educational Proof