Khushbu Chauhan-109160010196

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 : Khushbu Chauhan
Reg. No. 109160010196

Student Photo Not Available
Mother's Name : Rajesh Devi
Father's Name : Ghanshyam Singh
Date of Birth * : 29-Oct-2001
Gender : FEMALE
Nationality : INDIAN
Present Address : Hno. 44, Street 02, Shiv Puri, ghazibad, 201001
Mobile No. : 9971310521
Email Address : khushbuchauhan@gmai.com

Course Details

Course Name /Code : Certificate in Computer Application (CCA)
Course Duration : 3 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 : 03-Jul-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