REGISTRATION FORM
Date: 2025-09-25 Reg. No.: 2026/752 Center Code: 2026 Name : Anu Kumar Gupta Father s Name : Sandeep Gupta Date Of Birth : 2007-02-16 Contact Address (Correspondence) : Amroha Contact Address (Permanent) : Amroha Contact Details : (R) (O) (M)  Name Of Course : Certificate Course In Computer 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)