REGISTRATION FORM
Date: 2020-11-10 Reg. No.: 2026/177 Center Code: 2026 Name : Neelam Father s Name : Mr. Rajpal Singh Date Of Birth : 2001-06-07 Contact Address (Correspondence) : Kheda Parsal,Swar, Rampur Contact Address (Permanent) : Kheda Parsal, Swar, Rampur Contact Details : (R) (O) (M)  Name Of Course : Certificate Program Software Covered :  Course Fee : 6000 Rs GST : 0 Rs Total Fee : 6000 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)