REGISTRATION FORM
Date:
2019-08-07
Reg. No.:
2026/16
Center Code:
2026
Name
: Mayank Bajpai
Father s Name
: Arvind kumar Bajpai
Date Of Birth
: 1999-11-20
Contact Address
(Correspondence)
: moradabad
Contact Address
(Permanent)
: moradabad
Contact Details
:
(R)
(O)
(M)
Name Of Course
: Certificate Program
Software Covered
:
Course Fee
: 10000 Rs
GST
: 0 Rs
Total Fee
: 10000 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)
