Pankaj Kumar-760703010014

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 Kumar
Reg. No. 760703010014

Student Photo Not Available
Mother's Name : Manju Devi
Father's Name : Ganesh Kumar
Date of Birth * : 21-Jul-2008
Gender : MALE
Nationality : INDIAN
Present Address : 36-A, Mawasi Colony, Madan Pur, Khadar, SRT Delhi-76
Mobile No. : 9990767016
Email Address :

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: , South Delhi
Date : 08-Feb-2023

Signature of Student

Center Details

Center Code : 76070301

Verified By
Center Name : OM Computer Training Institute
Center Address : Madanpur Khadar Vill. Sarita Vihar, Delhi-110076, (South Delhi)
ID Proof
Educational Proof