REGISTRATION FORM
Date: 2019-07-19 Reg. No.: 2026/4 Center Code: 2026 Name : diksha sharma R Father s Name : rajnish kumar sharma Date Of Birth : 1998-08-07 Contact Address (Correspondence) : icfai university dehradun Contact Address (Permanent) : cheena farm,dhakia gulabo,kashipur 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)