REGISTRATION FORM
Date: 2020-03-02 Reg. No.: 2026/151 Center Code: 2026 Name : Chirag Varshney Father s Name : Dipendra Kumar Date Of Birth : 1999-12-18 Contact Address (Correspondence) : Moradabad Contact Address (Permanent) : Moradabad Contact Details : (R) (O) (M)  Name Of Course : Certificate course in Electrical CAD Software Covered :  Course Fee : 1000 Rs GST : 0 Rs Total Fee : 1000 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)