REGISTRATION FORM
Date: 2025-06-07 Reg. No.: 2026/747 Center Code: 2026 Name : Anuj Kumar Father s Name : Deepak Chandr Date Of Birth : 2004-03-23 Contact Address (Correspondence) : Naveen Nagar Mda, Moradabad Contact Address (Permanent) : Naveen Nagar Mda, Moradabad Contact Details : (R) (O) (M)  Name Of Course : Professional Certificate in Digital Marketing Software Covered :  Course Fee : 45000 Rs GST : 0 Rs Total Fee : 45000 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)