Kushal -109160101140

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 : Kushal
Reg. No. 109160101140

Student Photo Not Available
Mother's Name : Kalpana Rajput
Father's Name : Yadram Rajput
Date of Birth * : 01-Jan-2015
Gender : MALE
Nationality : INDIAN
Present Address : gijhore sec. 53 noida 201301
Mobile No. : 7834959603
Email Address : yasch@1988gmail.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 : 06-May-2025

Signature of Student

Center Details

Center Code : 10916010

Verified By
Center Name : OM Computer Training Institute
Center Address : Gijhore Sec. 53, Noida, U.P., (Gautam Buddh Nagar)
ID Proof
Educational Proof