REGISTRATION FORM
Date: 2025-05-13 Reg. No.: 2026/627 Center Code: 2026 Name : Anshul Pateriya Father s Name : Pramod Date Of Birth : 2006-02-08 Contact Address (Correspondence) : Vill/ post - Gadoli Kalan, Lalitpur -284404 Contact Address (Permanent) : Vill/ post - Gadoli Kalan, Lalitpur -284404 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)