REGISTRATION FORM
Date: 2025-09-17 Reg. No.: 2026/721 Center Code: 2026 Name : Devansh Shukla Father s Name : Sachin Shukla Date Of Birth : 2002-09-18 Contact Address (Correspondence) : Deendayal Nagar,moradabad Contact Address (Permanent) : Deendayal Nagar,moradabad Contact Details : (R) (O) (M)  Name Of Course : Certificate Course In Computer Software Covered :  Course Fee : 11000 Rs GST : 0 Rs Total Fee : 11000 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)