REGISTRATION FORM
Date: 2023-06-12 Reg. No.: 2026/372 Center Code: 2026 Name : Rishita Gupta Father s Name : Sachin Gupta Date Of Birth : 2002-01-04 Contact Address (Correspondence) : Shakti Nagar Near Hanuman Mandir Mansarover School Contact Address (Permanent) : Shakti Nagar Near Hanuman Mandir Mansarover School Contact Details : (R) (O) (M)  Name Of Course : Certificate Program Software Covered :  Course Fee : 5000 Rs GST : 0 Rs Total Fee : 5000 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)