REGISTRATION FORM
Date: 2025-01-05 Reg. No.: 2026/604 Center Code: 2026 Name : Akash Chaurasiya Father s Name : Gobari Chaurasiya Date Of Birth : 2006-01-01 Contact Address (Correspondence) : Moradabad Contact Address (Permanent) : Vill Hemchhapar Post- Rajaura Khurd Distt. Maharajganj Contact Details : (R) (O) (M)  Name Of Course : Certificate course in Civil CAD Software Covered :  Course Fee : 4100 Rs GST : 0 Rs Total Fee : 4100 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)