Pawan-930707020254

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 : Pawan
Reg. No. 930707020254

Student Photo Not Available
Mother's Name : Rajwati
Father's Name : Tulsi Prasad
Date of Birth * : 01-Aug-1995
Gender : MALE
Nationality : INDIAN
Present Address : h No. F-1/172,Near old Shiv Mandir,Sunder Nagri, Seemapuri,North East, Delhi,110093
Mobile No. : 9968038545
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: , New Delhi
Date : 01-Apr-2025

Signature of Student

Center Details

Center Code : 93070702

Verified By
Center Name : OM Computer Training Institute
Center Address : Sunder Nagri, Delhi-93, (New Delhi)
ID Proof
Educational Proof