REGISTRATION FORM
Date: 2023-12-01 Reg. No.: 2026/450 Center Code: 2026 Name : Anuj Kumar Father s Name : Samarpal Singh Date Of Birth : 2002-07-08 Contact Address (Correspondence) : moradabad Contact Address (Permanent) : Mohalla Sultan Nagar Chaupla Gajraula(Amroha) Contact Details : (R) (O) (M)  Name Of Course : Certificate course in Civil CAD Software Covered :  Course Fee : 4000 Rs GST : 0 Rs Total Fee : 4000 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)