REGISTRATION FORM
Date: 2019-07-22 Reg. No.: 2026/7 Center Code: 2026 Name : Saurabh bhatnagar Father s Name : MR.Lalesh bhatnagar Date Of Birth : 1999-08-25 Contact Address (Correspondence) : t-21 harthala near ram leela madan,sonakpur Contact Address (Permanent) : t-21 harthala near ram leela madan ,sonakpur Contact Details : (R) (O) (M)  Name Of Course : Certificate Program Software Covered :  Course Fee : 5000 Rs GST : 0 Rs Total Fee : 5000 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)