REGISTRATION FORM
Date: 2019-11-08 Reg. No.: 2026/74 Center Code: 2026 Name : Rajan Kumar Father s Name : Late Dev Prasad Date Of Birth : 1999-11-25 Contact Address (Correspondence) : moradabad Contact Address (Permanent) : pandaypur, post- ukathi distt- varanasi Contact Details : (R) (O) (M)  Name Of Course : Certificate course in Mechanical CAD Software Covered :  Course Fee : 1000 Rs GST : 0 Rs Total Fee : 1000 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)