REGISTRATION FORM
Date: 2024-08-13 Reg. No.: 2026/517 Center Code: 2026 Name : Sakshi Father s Name : Gireesh Date Of Birth : 2004-04-25 Contact Address (Correspondence) : Chandra Nagar Moradabad Contact Address (Permanent) : Chandra Nagar 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)