REGISTRATION FORM
Date:
2019-07-20
Reg. No.:
2026/5
Center Code:
2026
Name
: pragati chauhan
Father s Name
: Mr.kapil kumar
Date Of Birth
: 2000-04-03
Contact Address
(Correspondence)
: vill-jairampur
Contact Address
(Permanent)
: vill-jairampur
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)
