Pinky-109160130053

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 : Pinky
Reg. No. 109160130053

Student Photo Not Available
Mother's Name : Geetaanjali Devi
Father's Name : Upendra Nayak
Date of Birth * : 15-Dec-1996
Gender : FEMALE
Nationality : INDIAN
Present Address : E-48 E Block Old No-420 B KH NO-446 Ghazipur, East Delhi -110096
Mobile No. : 9718099871
Email Address : pinkynayak374@gmail.com

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-Sep-2025

Signature of Student

Center Details

Center Code : 10916013

Verified By
Center Name : OM Computer Training Institute
Center Address : Naya Bans, Sector 15, Noida, U.P., (Gautam Buddh Nagar)
ID Proof
Educational Proof