Pooja Shukla-909180301331

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 Shukla
Reg. No. 909180301331

Student Photo Not Available
Mother's Name : Leelawati Shukla
Father's Name : Umadutt Shukla
Date of Birth * : 21-Sep-2004
Gender : FEMALE
Nationality : INDIAN
Present Address : RC -325 GEETANJALI VIHAR KHORA COLONY GZB.
Mobile No. : 9540069612
Email Address : shwetashukla45356@gmail.com

Course Details

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

Attached Document

Identity Proof : Sorry No Attachment
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: , Ghaziabad
Date : 15-May-2023

Signature of Student

Center Details

Center Code : 90918030

Verified By
Center Name : OM Computer Training Institute
Center Address : Anil Vihar, Khora Colony, (Ghaziabad)
ID Proof
Educational Proof