Mimansh Gautam-920713030371

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 : Mimansh Gautam
Reg. No. 920713030371

Student Photo Not Available
Mother's Name : Hemlata
Father's Name : Dorilal
Date of Birth * : 24-Jan-2008
Gender : MALE
Nationality : INDIAN
Present Address : D-106 Ganesh Nagar Pandav Nagar Delhi-110092
Mobile No. : 9311512190
Email Address : mimanshg@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: , East Delhi
Date : 06-Aug-2025

Signature of Student

Center Details

Center Code : 92071303

Verified By
Center Name : OM Computer Training Institute
Center Address : Ganesh Nagar, Delhi-92, (East Delhi)
ID Proof
Educational Proof