REGISTRATION FORM
Date: 2021-04-12 Reg. No.: 2026/243 Center Code: 2026 Name : Akansha Choudhary Father s Name : Sandeep Kumar Choudhary Date Of Birth : 2000-10-01 Contact Address (Correspondence) : KashiRam Nagar in Front G-Block Moradabad Contact Address (Permanent) : KashiRam Nagar in Front G-Block Moradabad Contact Details : (R) (O) (M)  Name Of Course : Certificate Program Software Covered :  Course Fee : 14450 Rs GST : 0 Rs Total Fee : 14450 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)