Priyanshu Negi-109150100634

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 : Priyanshu Negi
Reg. No. 109150100634

Student Photo Not Available
Mother's Name : Vinita Devi
Father's Name : Harish Negi
Date of Birth * : 28-Sep-2008
Gender : MALE
Nationality : INDIAN
Present Address : makanpur indirapuram ghaziabad 201014
Mobile No. : 9639829610
Email Address :

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: , Ghaziabad
Date : 25-Apr-2025

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