REGISTRATION FORM
Date: 2023-04-03 Reg. No.: 2026/463 Center Code: 2026 Name : Peeyush Kashyap Father s Name : Suresh Chand Date Of Birth : 2003-06-15 Contact Address (Correspondence) : Ayam Yog Kendra Chandra Nagar Moradabad Up Contact Address (Permanent) : Ayam Yog Kendra Chandra Nagar Moradabad Up Contact Details : (R) (O) (M)  Name Of Course : Certificate Program Software Covered :  Course Fee : 13000 Rs GST : 0 Rs Total Fee : 13000 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)