Vivek Kumar-109160120050

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 : Vivek Kumar
Reg. No. 109160120050

Student Photo Not Available
Mother's Name : Lilawati Devi
Father's Name : Angad Prasad
Date of Birth * : 05-Mar-2008
Gender : MALE
Nationality : INDIAN
Present Address : CHAAJARSI COLONY SECTOR 63 NOIDA
Mobile No. : 9956418935
Email Address : vk5955163@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 : 19-May-2025

Signature of Student

Center Details

Center Code : 10916012

Verified By
Center Name : OM Computer Training Institute
Center Address : Chhajarsi, Sector , 63, Noida, U.P., (Gautam Buddh Nagar)
ID Proof
Educational Proof