Pratik Pal-090918030043

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 : Pratik Pal
Reg. No. 090918030043

Student Photo Not Available
Mother's Name : Dharam Wati Devi
Father's Name : Parmeshwar Dayal
Date of Birth * : 16-Aug-2009
Gender : MALE
Nationality : INDIAN
Present Address : RC-402, AZAD VIHAR KHORA COLONY GZB.
Mobile No. : 9891584102
Email Address : parul755678@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-Jul-2023

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