REGISTRATION FORM
Date:
2024-09-21
Reg. No.:
2026/565
Center Code:
2026
Name
: Rishabh Gupta
Father s Name
: Sanjeev Gupta
Date Of Birth
: 2003-11-15
Contact Address
(Correspondence)
: MOH.LOHIYAN DHAMPUR
Contact Address
(Permanent)
: MOH.LOHIYAN DHAMPUR
Contact Details
:
(R)
(O)
(M)
Name Of Course
: Certificate Program
Software Covered
:
Course Fee
: 500 Rs
GST
: 0 Rs
Total Fee
: 500 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)
