REGISTRATION FORM

Date: 2025-07-25 Reg. No.: 2026/655 Center Code: 2026
Name : Muskan Bhardwaj
Father s Name : Mr.Praveen Kumar
Date Of Birth : 2006-10-12
Contact Address
(Correspondence)
: Rampur
Contact Address
(Permanent)
: Rampur
Contact Details (R) (O) (M) 
Name Of Course : Certificate Course In Electrical IC
Software Covered : Electrical AutoCAD
Course Fee : 4999 Rs
GST : 0 Rs
Total Fee : 4999 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)