REGISTRATION FORM
Date: 2023-08-02 Reg. No.: 2026/397 Center Code: 2026 Name : Sourabh Singh Father s Name : Shankar Singh Date Of Birth : 2004-12-09 Contact Address (Correspondence) : B-1 40 Avantika colony near tikkona Parks Contact Address (Permanent) : B-1 40 Avantika colony near tikkona Parks Contact Details : (R) (O) (M)  Name Of Course : Certificate Program Software Covered :  Course Fee : 3000 Rs GST : 0 Rs Total Fee : 3000 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)