Disha-109160090158

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 : Disha
Reg. No. 109160090158

Student Photo Not Available
Mother's Name : Mrs.upasna
Father's Name : Mr.uttam Singh
Date of Birth * : 02-Aug-2008
Gender : FEMALE
Nationality : INDIAN
Present Address : Inder colony bagu bypass vijay nagar ghaziabad-201009
Mobile No. : 9312308944
Email Address :

Course Details

Course Name /Code : Certificate in Computer Application (CCA)
Course Duration : 3 Months

Attached Document

Identity Proof : Sorry No Attachment
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 : 07-Apr-2025

Signature of Student

Center Details

Center Code : 10916009

Verified By
Center Name : OM Computer Training Institute
Center Address : Krishna Nagar Bagu Road, (Gautam Buddh Nagar)
ID Proof
Educational Proof