Pushkar-109160130049

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 : Pushkar
Reg. No. 109160130049

Student Photo Not Available
Mother's Name : Sundari
Father's Name : Rakesh
Date of Birth * : 04-Apr-2007
Gender : MALE
Nationality : INDIAN
Present Address : House No - A-281 ,New Ashok Nagar vasundhra Enclave East Delhi-110096
Mobile No. : 9773867650
Email Address : chpushkar04@gmail.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-Sep-2025

Signature of Student

Center Details

Center Code : 10916013

Verified By
Center Name : OM Computer Training Institute
Center Address : Naya Bans, Sector 15, Noida, U.P., (Gautam Buddh Nagar)
ID Proof
Educational Proof