Pavan Kumar Maurya-109160010237

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 : Pavan Kumar Maurya
Reg. No. 109160010237

Student Photo Not Available
Mother's Name : Gayatree Devi
Father's Name : Shriram Maurya
Date of Birth * : 05-Mar-1998
Gender : MALE
Nationality : INDIAN
Present Address : Hajipur baruar mewpur kadipur, Sultanpur, UP, 228161
Mobile No. : 9555136368
Email Address : pavanmaurya123@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: , Ghaziabad
Date : 10-Sep-2025

Signature of Student

Center Details

Center Code : 10916001

Verified By
Center Name : OM Computer Training Institute
Center Address : Sector 9, New Vijay Nagar, Gzb. U.P., (Ghaziabad)
ID Proof
Educational Proof