REGISTRATION FORM
Date: 2024-08-12 Reg. No.: 2026/515 Center Code: 2026 Name : Rita Kumari Father s Name : Vedram Singh Date Of Birth : 2005-03-15 Contact Address (Correspondence) : Mankua MaksoodPur Sidhrav Nazerpur Moradabad Contact Address (Permanent) : Mankua MaksoodPur Sidhrav Nazerpur Moradabad Contact Details : (R) (O) (M)  Name Of Course : Certificate Program Software Covered :  Course Fee : 6500 Rs GST : 0 Rs Total Fee : 6500 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)