Sourabh Gautam-109150100134

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 : Sourabh Gautam
Reg. No. 109150100134

Student Photo Not Available
Mother's Name : Rajmala Devi
Father's Name : Late Rambabu
Date of Birth * : 27-Jul-2006
Gender : MALE
Nationality : INDIAN
Present Address : house no 167 f block f10 village post makanpur indirapuram ghaziabad 201014
Mobile No. : 8375872475
Email Address : sourabhchodhary.146@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: , Ghaziabad
Date : 05-Jan-2023

Signature of Student

Center Details

Center Code : 10915010

Verified By
Center Name : OM Computer Training Institute
Center Address : Makanpur, Nyay Khand 2, Indirapuram, Gzb. U.P., (Ghaziabad)
ID Proof
Educational Proof