Suraj Kumar-960707070022

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 : Suraj Kumar
Reg. No. 960707070022

Student Photo Not Available
Mother's Name : Rekha Devi
Father's Name : Lalan Kumar
Date of Birth * : 02-Oct-2008
Gender : MALE
Nationality : INDIAN
Present Address : Bhuapur Kaushambi Ghaziabad
Mobile No. : 8810288298
Email Address : surajprajapati838395@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 : 16-Dec-2024

Signature of Student

Center Details

Center Code : 96070707

Verified By
Center Name : OM Computer Training Institute
Center Address : Bhuapur Village, Gzb., (Ghaziabad)
ID Proof
Educational Proof