REGISTRATION FORM
Date: 2025-06-20 Reg. No.: 2026/744 Center Code: 2026 Name : Deepak Kumar Father s Name : Rajpal Singh Date Of Birth : 2003-05-20 Contact Address (Correspondence) : Kailsa Amroha Contact Address (Permanent) : Kailsa Amroha Contact Details : (R) (O) (M)  Name Of Course : Certificate Course In Computer Software Covered :  Course Fee : 10000 Rs GST : 0 Rs Total Fee : 10000 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)