Deepanshu Yadav-109160250004

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 : Deepanshu Yadav
Reg. No. 109160250004

Student Photo Not Available
Mother's Name : Ruchi Yadav
Father's Name : Shyamveer Yadav
Date of Birth * : 29-Aug-2013
Gender : MALE
Nationality : INDIAN
Present Address : Ghari Chaukhandi Noida-68
Mobile No. : 9315190244
Email Address :

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: , Gautam Buddh Nagar
Date : 09-Sep-2025

Signature of Student

Center Details

Center Code : 10916025

Verified By
Center Name : BK Global Institute of Technology
Center Address : Garhi Chaukhandi, Noida Sec-68, (Gautam Buddh Nagar)
ID Proof
Educational Proof