REGISTRATION FORM
Date: 2023-07-10 Reg. No.: 2026/732 Center Code: 2026 Name : Rajpal Father s Name : Ram Kishor Date Of Birth : 1997-09-02 Contact Address (Correspondence) : Village Chak Begumpur Moradabad Contact Address (Permanent) : Village Chak Begumpur Moradabad Contact Details : (R) (O) (M)  Name Of Course : Certificate Course In Computer Software Covered :  Course Fee : 4100 Rs GST : 0 Rs Total Fee : 4100 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)