REGISTRATION FORM
Date: 2025-12-30 Reg. No.: 2026/737 Center Code: 2026 Name : Prabhakar Pandey Father s Name : Radhey Shyam Pandey Date Of Birth : 2003-06-14 Contact Address (Correspondence) : Biskohar,siddharthnagar,up Contact Address (Permanent) : Biskohar,siddharthnagar,up Contact Details : (R) (O) (M)  Name Of Course : Certificate Course In Electrical CAD 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)