REGISTRATION FORM

Date: 2022-10-26 Reg. No.: 2026/333 Center Code: 2026
Name : Upasna Choudhary
Father s Name : Dinesh Singh
Date Of Birth : 2003-03-19
Contact Address
(Correspondence)
: Himayun pur Moradabad
Contact Address
(Permanent)
: Himayun pur
Contact Details (R) (O) (M) 
Name Of Course : Certificate Program
Software Covered
Course Fee : 12500 Rs
GST : 0 Rs
Total Fee : 12500 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)