Suraj Verma-960707030532

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 : Suraj Verma
Reg. No. 960707030532

Student Photo Not Available
Mother's Name : Chandrawati
Father's Name : Chhote Lal Verma
Date of Birth * : 18-Mar-2007
Gender : MALE
Nationality : INDIAN
Present Address : Bijahadi, silaudhi, benimadhav nagar , sangipur pratapgrah uttar pradesh-230139
Mobile No. : 9026553474
Email Address : vermasurajji251@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: , East Delhi
Date : 01-Jul-2025

Signature of Student

Center Details

Center Code : 96070703

Verified By
Center Name : OM Computer Training Institute
Center Address : E-84, New Ashok Nagar, Delhi-110096, (East Delhi)
ID Proof
Educational Proof