Pankaj Yadav-909180102549

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 Yadav
Reg. No. 909180102549

Student Photo Not Available
Mother's Name : Saroj Bala
Father's Name : Vinay Kumar
Date of Birth * : 26-Jun-2005
Gender : MALE
Nationality : INDIAN
Present Address : GALI NO 11 PRAGATI VIHAR KHORA COLONY GHAZIABAD UP 201001
Mobile No. : 8930503469
Email Address : py469115@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 : 12-Apr-2024

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