REGISTRATION FORM
Date: 2019-08-09 Reg. No.: 2026/18 Center Code: 2026 Name : Monu Father s Name : Madan Singh Date Of Birth : 2000-07-15 Contact Address (Correspondence) : Vill. Sela, Bijnor Contact Address (Permanent) : Vill. Sela, Bijnor Contact Details : (R) (O) (M)  Name Of Course : Certificate Program Software Covered :  Course Fee : 7500 Rs GST : 0 Rs Total Fee : 7500 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)