Sakshi Pankaj Verma-909180103056

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 : Sakshi Pankaj Verma
Reg. No. 909180103056

Student Photo Not Available
Mother's Name : Reshma Pankaj Verma
Father's Name : Pankaj Shyam Verma
Date of Birth * : 12-Oct-2007
Gender : MALE
Nationality : INDIAN
Present Address : gali no. 09 pragati vihar khora colony gzb u.p 201030
Mobile No. : 7055391327
Email Address : shashiverma894@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 : 08-Apr-2026

Signature of Student

Center Details

Center Code : 90918010

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