Pankaj-109160110141

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 : Pankaj
Reg. No. 109160110141

Student Photo Not Available
Mother's Name : Satyawati
Father's Name : Naipal Singh
Date of Birth * : 03-Dec-2001
Gender : MALE
Nationality : INDIAN
Present Address : 2A 246 Vasundhara GZB 201012
Mobile No. : 9811213595
Email Address : pankajsingh08822@gmail.com

Course Details

Course Name /Code : Diploma in Computer Application (DCA)
Course Duration : 6 Months

Attached Document

Identity Proof : Sorry No Attachment
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 : 10-Apr-2025

Signature of Student

Center Details

Center Code : 10916011

Verified By
Center Name : OM Computer Training Institute
Center Address : Arthala Village, Mohan Nagar, Gzb. U.P., (Ghaziabad)
ID Proof
Educational Proof