REGISTRATION FORM
Date: 2022-11-17 Reg. No.: 2026/337 Center Code: 2026 Name : rachit rajpoot Father s Name : raj kumar singh Date Of Birth : 1996-09-11 Contact Address (Correspondence) : vill. hazerpur bhatt, post Contact Address (Permanent) : vill. hazerpur bhatt post Contact Details : (R) (O) (M)  Name Of Course : Certificate Program Software Covered :  Course Fee : 25000 Rs GST : 0 Rs Total Fee : 25000 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)