REGISTRATION FORM
Date: 2025-07-15 Reg. No.: 2026/647 Center Code: 2026 Name : Ritika Chaudhary Father s Name : Raj Singh Date Of Birth : 2005-07-21 Contact Address (Correspondence) : Islamnagar Post Kafiyabad Dist Moradabad Contact Address (Permanent) : Islamnagar Post Kafiyabad Dist Moradabad Contact Details : (R) (O) (M)  Name Of Course : Certificate Course In Computer Software Covered : C Programming Course Fee : 3500 Rs GST : 0 Rs Total Fee : 3500 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)