REGISTRATION FORM
Date: 2024-09-04 Reg. No.: 2026/533 Center Code: 2026 Name : Anant Raj Bhatnagar Father s Name : Sanjeev Kumar Bhatnagar Date Of Birth : 2004-09-17 Contact Address (Correspondence) : E-01 KASHIRAM NAGAR MAU YOJNA KANTH ROAD MORADABAD Contact Address (Permanent) : E-01 KASHIRAM NAGAR MAU YOJNA KANTH ROAD MORADABAD Contact Details : (R) (O) (M)  Name Of Course : Certificate Program Software Covered :  Course Fee : 135999 Rs GST : 0 Rs Total Fee : 135999 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)