REGISTRATION FORM
Date: 2025-03-05 Reg. No.: 2026/669 Center Code: 2026 Name : Gagan Chauhan Father s Name : Mr. Rajkumar Singh Date Of Birth : 2008-07-15 Contact Address (Correspondence) : Durga Colony Bilram Gate, Kasganj,207123 Contact Address (Permanent) : Durga Colony Bilram Gate, Kasganj,207123 Contact Details : (R) (O) (M)  Name Of Course : Certificate Course In Electronics Software Covered :  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)