REGISTRATION FORM
Date: 2019-11-17 Reg. No.: 2026/84 Center Code: 2026 Name : Mehak Jaat Father s Name : Mr ompal singh Date Of Birth : 1999-11-27 Contact Address (Correspondence) : kamla bihar near viksit inter collage moradabad Contact Address (Permanent) : kamla bihar near viksit inter collage moradabad Contact Details : (R) (O) (M)  Name Of Course : Certificate Program 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)