Abhinay Kumar-909180202405

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 : Abhinay Kumar
Reg. No. 909180202405

Student Photo Not Available
Mother's Name : Sarita Devi
Father's Name : Akhilesh Kumar
Date of Birth * : 21-Jul-2012
Gender : MALE
Nationality : INDIAN
Present Address : 33 futta road h-10 Gali 1 master park khora colony gzb
Mobile No. : 7011746990
Email Address : saritakumari227@gmail.com

Course Details

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

Attached Document

Identity Proof : Download
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 : 02-Dec-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