REGISTRATION FORM
Date: 2021-08-27 Reg. No.: 2026/291 Center Code: 2026
Name : Om Dixit
Father s Name : Devesh Dixit
Date Of Birth : 2003-03-27
Contact Address
(Correspondence)		 : Mooradabad
Contact Address
(Permanent)		 : Mooradabad
Contact Details : (R) (O) (M) 
Name Of Course : Certificate Program
Software Covered : 
Course Fee : 13000 Rs
GST : 0 Rs
Total Fee : 13000 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)