REGISTRATION FORM
Date: 2025-10-20 Reg. No.: 2026/751 Center Code: 2026 Name : Pavnesh Kumar Father s Name : Bijendra Singh Date Of Birth : 2007-08-03 Contact Address (Correspondence) : Buchpuri,dist Moradabad Contact Address (Permanent) : Buchpuri,dist Moradabad Contact Details : (R) (O) (M)  Name Of Course : Certificate Course In Electrical IC Software Covered :  Course Fee : 5000 Rs GST : 0 Rs Total Fee : 5000 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)