Ayush Maurya-090918030020

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 : Ayush Maurya
Reg. No. 090918030020

Student Photo Not Available
Mother's Name : Sushila Devi
Father's Name : Suresh Chandra Maurya
Date of Birth * : 05-Jun-2011
Gender : MALE
Nationality : INDIAN
Present Address : Azad Vihar Khora Colony Gzb.
Mobile No. : 9971467591
Email Address : omcti.khora3@gmail.com

Course Details

Course Name /Code : Certificate in Computer Application (CCA)
Course Duration : 3 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 : 30-Nov--0001

Signature of Student

Center Details

Center Code : 90918030

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