REGISTRATION FORM
Date: 2021-10-21 Reg. No.: 2026/319 Center Code: 2026 Name : Aryaka Agarwal Father s Name : Rahul Agarwal Date Of Birth : 2002-02-01 Contact Address (Correspondence) : B 57 Ram ganga vihar moradabad Contact Address (Permanent) : B 57 Ram ganga vihar moradabad Contact Details : (R) (O) (M)  Name Of Course : Certificate Program Software Covered :  Course Fee : 3000 Rs GST : 0 Rs Total Fee : 3000 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)