REGISTRATION FORM
Date: 2023-04-02 Reg. No.: 2026/363 Center Code: 2026
Name : Shivam
Father s Name : Gangaram
Date Of Birth : 2000-03-13
Contact Address
(Correspondence)		 : Amroha
Contact Address
(Permanent)		 : Amroha
Contact Details : (R) (O) (M) 
Name Of Course : Certificate Program
Software Covered : 
Course Fee : 16000 Rs
GST : 0 Rs
Total Fee : 16000 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)