REGISTRATION FORM
Date: 2020-01-20 Reg. No.: 2026/101 Center Code: 2026 Name : Devansh Chaudhary Father s Name : Deshraj Singh Date Of Birth : 1998-09-09 Contact Address (Correspondence) : vill. Rampur, Post-Narayanpur, Teh- Bilari, Moradabad 202415 Contact Address (Permanent) : vill. Rampur, Post-Narayanpur, Teh- Bilari, Moradabad 202415 Contact Details : (R) (O) (M)  Name Of Course : Certificate Program Software Covered :  Course Fee : 9500 Rs GST : 0 Rs Total Fee : 9500 Rs I have read the terms & conditions printed overleaf, Understood the same and here by confirm having accepted the same for joining the course For : MORADABAD UTTAR PRADESH         Student s Signature Authorised Center (Seal & Signature)