REGISTRATION FORM
Date: 2023-07-25 Reg. No.: 2026/389 Center Code: 2026 Name : Mukul Pal Father s Name : Naresh Pal Date Of Birth : 2001-11-01 Contact Address (Correspondence) : 92B Patel Nagar Railway Harthala Colony Contact Address (Permanent) : 92B Patel Nagar Railway Harthala Colony Contact Details : (R) (O) (M)  Name Of Course : Certificate Program Software Covered :  Course Fee : 9000 Rs GST : 0 Rs Total Fee : 9000 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)