REGISTRATION FORM
Date: 2023-09-05 Reg. No.: 2026/405 Center Code: 2026 Name : Prayag Father s Name : Rajesh Kumar Date Of Birth : 2004-02-28 Contact Address (Correspondence) : Mohalla patla mai ka than rampur city Contact Address (Permanent) : Mohalla patla mai ka than rampur city Contact Details : (R) (O) (M)  Name Of Course : Certificate Program Software Covered :  Course Fee : 1200 Rs GST : 0 Rs Total Fee : 1200 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)