Shourya Gupta-109160700182

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 : Shourya Gupta
Reg. No. 109160700182

Student Photo Not Available
Mother's Name : Priyanka Kumari
Father's Name : Ranjit Kumar
Date of Birth * : 17-Dec-2015
Gender : FEMALE
Nationality : INDIAN
Present Address : Noida, Sec-19, B-BlockH-No-382, Near By Apex Dental Clinic
Mobile No. : 9953146994
Email Address : Pk7635566@gmail.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: , Gautam Buddh Nagar
Date : 16-Jun-2025

Signature of Student

Center Details

Center Code : 10916070

Verified By
Center Name : OM Computer Training Institute
Center Address : Barat Ghar, Gali No. 4, Sec-27, (Gautam Buddh Nagar)
ID Proof
Educational Proof