REGISTRATION FORM
Date: 2025-08-23 Reg. No.: 2026/819 Center Code: 2026 Name : Dheeraj Chauhan Father s Name : Bhupal Singh Date Of Birth : 2001-06-30 Contact Address (Correspondence) : Moradabad Contact Address (Permanent) : 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)