REGISTRATION FORM
Date: 2022-08-24 Reg. No.: 2026/360 Center Code: 2026 Name : Manish Kumar Father s Name : Mahipal Singh Date Of Birth : 2003-08-09 Contact Address (Correspondence) : KDM ITI MAU LINE PAR MORADABAD Contact Address (Permanent) : KDM ITI MAU LINE PAR MORADABAD Contact Details : (R) (O) (M)  Name Of Course : Certificate Course Software Covered :  Course Fee : 7000 Rs GST : 0 Rs Total Fee : 7000 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)