REGISTRATION FORM
Date: 2023-05-11 Reg. No.: 2026/368 Center Code: 2026 Name : Kanchan Lakhera Father s Name : Am Lekhera Date Of Birth : 1982-07-13 Contact Address (Correspondence) : Mansrover School Navven Nagar Contact Address (Permanent) : Mansrover School Navven Nagar Contact Details : (R) (O) (M)  Name Of Course : Certificate Program Software Covered :  Course Fee : 15000 Rs GST : 0 Rs Total Fee : 15000 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)