Priyanshu Rajak-109160400213

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 Rajak
Reg. No. 109160400213

Student Photo Not Available
Mother's Name : Rinki Devi
Father's Name : Jaysiyaram Rajak
Date of Birth * : 25-Aug-2004
Gender : MALE
Nationality : INDIAN
Present Address : gali no-7 mamura sec-66
Mobile No. : 7079899033
Email Address : priyanshurajak573@gmail.com

Course Details

Course Name /Code : Advance Diploma in Computer Application (ADCA)
Course Duration : 12 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 : 18-Sep-2024

Signature of Student

Center Details

Center Code : 10916040

Verified By
Center Name : OM Computer Training Institute
Center Address : Gali No 2, Mamura, Sec-66, Noida, (Gautam Buddh Nagar)
ID Proof
Educational Proof