Yash Raj-109160190031

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 : Yash Raj
Reg. No. 109160190031

Student Photo Not Available
Mother's Name : Mrs. Ruma Kumari
Father's Name : Mr. Yugeswar Prasad
Date of Birth * : 27-Dec-2015
Gender : MALE
Nationality : INDIAN
Present Address : Sector-5 Harola, Noida, Gautam Buddha Nagar, Uttar pradesh, 201301
Mobile No. : 9709823181
Email Address : yugeshprasad674@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: , Gautam Buddh Nagar
Date : 02-Feb-2026

Signature of Student

Center Details

Center Code : 10916019

Verified By
Center Name : OM Computer Training Institute
Center Address : Harola, Sector 5, Noida, (Gautam Buddh Nagar)
ID Proof
Educational Proof