Pooja Kumari Chauhan-109160010219

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 : Pooja Kumari Chauhan
Reg. No. 109160010219

Student Photo Not Available
Mother's Name : Fulwanti Devi
Father's Name : Krishna Chauhan
Date of Birth * : 09-Sep-2000
Gender : FEMALE
Nationality : INDIAN
Present Address : village-Galimapur, Post-semariya, Siwan, bihar, 841243
Mobile No. : 9102968615
Email Address : poojagzb495q@gmail.com

Course Details

Course Name /Code : Advance Diploma in Computer Application (ADCA)
Course Duration : 12 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: , Ghaziabad
Date : 01-Aug-2025

Signature of Student

Center Details

Center Code : 10916001

Verified By
Center Name : OM Computer Training Institute
Center Address : Sector 9, New Vijay Nagar, Gzb. U.P., (Ghaziabad)
ID Proof
Educational Proof