Jatan-909180202342

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 : Jatan
Reg. No. 909180202342

Student Photo Not Available
Mother's Name : Archana Devi
Father's Name : Tinku
Date of Birth * : 06-Jul-2012
Gender : MALE
Nationality : INDIAN
Present Address : Village raygahila ganigiri aligarh uttar pradesh
Mobile No. : 9310879137
Email Address :

Course Details

Course Name /Code : Certificate in Computer Application (CCA)
Course Duration : 3 Months

Attached Document

Identity Proof : Sorry No Attachment
Educational Certificate : Sorry No Attachment
Decleration

I hereby declared that all the informations are correct and true to the best of my knowledge and belief.

Place: , Ghaziabad
Date : 15-Sep-2025

Signature of Student

Center Details

Center Code : 90918020

Verified By
Center Name : OM Computer Training Institute
Center Address : Shani Bazar, Khora Colony, (Ghaziabad)
ID Proof
Educational Proof