REGISTRATION FORM
Date: 2020-12-30 Reg. No.: 2026/199 Center Code: 2026
Name : Deepika Gupta
Father s Name : Pooran Mal
Date Of Birth : 2003-02-04
Contact Address
(Correspondence)		 : MORADABAD
Contact Address
(Permanent)		 : MORADABAD
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)