Suraj Barnawal-800703011146

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 : Suraj Barnawal
Reg. No. 800703011146

Student Photo Not Available
Mother's Name : Seema Devi
Father's Name : Nilesh Barnawal
Date of Birth * : 03-May-2012
Gender : MALE
Nationality : INDIAN
Present Address : E-164 Near Pal Doctor Sangam Vihar
Mobile No. : 6391265570
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: , South Delhi
Date : 06-Apr-2025

Signature of Student

Center Details

Center Code : 80070301

Verified By
Center Name : OM Computer Training Institute
Center Address : Sangam Vihar, Delhi-80, (South Delhi)
ID Proof
Educational Proof