REGISTRATION FORM
Date: 2026-04-20 Reg. No.: 2026/830 Center Code: 2026 Name : Himanshu Pal Father s Name : Rajendra Kumar Date Of Birth : 2005-09-12 Contact Address (Correspondence) : Moradabad Contact Address (Permanent) : Moradabad Contact Details : (R) (O) (M)  Name Of Course : Professional Certificate In Data Analytics Software Covered :  Course Fee : 45500 Rs GST : 0 Rs Total Fee : 45500 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)