Amit Kumar-109160090202

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 : Amit Kumar
Reg. No. 109160090202

Student Photo Not Available
Mother's Name : Gudiya Rani
Father's Name : Mukesh Kumar
Date of Birth * : 04-Apr-2006
Gender : MALE
Nationality : INDIAN
Present Address : 353/2 vijay nagar bagu ghaziabad uttar pradesh-201009
Mobile No. : 9560911742
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: , Gautam Buddh Nagar
Date : 15-Jul-2025

Signature of Student

Center Details

Center Code : 10916009

Verified By
Center Name : OM Computer Training Institute
Center Address : Krishna Nagar Bagu Road, (Gautam Buddh Nagar)
ID Proof
Educational Proof