REGISTRATION FORM
Date: 2025-03-05 Reg. No.: 2026/607 Center Code: 2026 Name : Shubham Kumar Singh Father s Name : Nagendra Pratap Singh Date Of Birth : 2004-08-14 Contact Address (Correspondence) : Moradabad Contact Address (Permanent) : Vill. Chaklola Block-Sewapuri Dist. Varanasi 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)