Suraj Gautam-109160130021

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 Gautam
Reg. No. 109160130021

Student Photo Not Available
Mother's Name : Suman
Father's Name : Subedar
Date of Birth * : 01-Jan-2010
Gender : MALE
Nationality : INDIAN
Present Address : Noida Sector-15 ,Naya Bans , Gautam Buddh Nagar Uttar pradesh - 201301
Mobile No. : 7669468692
Email Address :

Course Details

Course Name /Code : Diploma in Computer Application (DCA)
Course Duration : 6 Months

Attached Document

Identity Proof : Download
Educational Certificate : Sorry No Attachment
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 : 15-Jul-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