REGISTRATION FORM
Date: 2022-08-24 Reg. No.: 2026/320 Center Code: 2026 Name : Ansh Gupta Father s Name : kuldeep kumar Gupta Date Of Birth : 2003-03-06 Contact Address (Correspondence) : D-93 AVANTIKA COLONY mbd Contact Address (Permanent) : D-93 AVANTIKA COLONY mbd Contact Details : (R) (O) (M)  Name Of Course : Certificate Program Software Covered :  Course Fee : 3500 Rs GST : 0 Rs Total Fee : 3500 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)