Lucky-309160010018

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 : Lucky
Reg. No. 309160010018

Student Photo Not Available
Mother's Name : Sarvesh
Father's Name : Vinod
Date of Birth * : 01-Jan-2013
Gender : MALE
Nationality : INDIAN
Present Address : Sadarpur, Sector-45,Noida
Mobile No. : 9012829459
Email Address :

Course Details

Course Name /Code : Certificate in Computer Application (CCA)
Course Duration : 3 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 : 27-Jan-2025

Signature of Student

Center Details

Center Code : 30916001

Verified By
Center Name : OM Computer Training Institute
Center Address : Sadarpur Sector 45, Noida, (Gautam Buddh Nagar)
ID Proof
Educational Proof