Yash Mehra-010915010011

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 : Yash Mehra
Reg. No. 010915010011

Student Photo Not Available
Mother's Name : Suman Mehra
Father's Name : Puran Mehra
Date of Birth * : 21-Sep-2007
Gender : MALE
Nationality : INDIAN
Present Address : 453-C, Nyay Khand 2 Indirapuram Ghaziabad
Mobile No. : 8860039751
Email Address : Ymehra586@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 : 01-Jan-1970

Signature of Student

Center Details

Center Code : 10915010

Verified By
Center Name : OM Computer Training Institute
Center Address : Makanpur, Nyay Khand 2, Indirapuram, Gzb. U.P., (Ghaziabad)
ID Proof
Educational Proof