REGISTRATION FORM
Date: 2025-07-01 Reg. No.: 2026/719 Center Code: 2026 Name : Sheetal Father s Name : Mr. Shyam Lal Date Of Birth : 2005-05-16 Contact Address (Correspondence) : Mohammad Ganj, Bareily,243501 Contact Address (Permanent) : Mohammad Ganj, Bareily,243501 Contact Details : (R) (O) (M)  Name Of Course : Certificate Course In Computer 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)