REGISTRATION FORM
Date: 2026-06-08 Reg. No.: 2026/840 Center Code: 2026 Name : Monika Father s Name : Mahendra Pal Date Of Birth : 2006-05-06 Contact Address (Correspondence) : Sambhal Contact Address (Permanent) : Sambhal Contact Details : (R) (O) (M)  Name Of Course : Certificate Course In Computer Software Covered :  Course Fee : 4100 Rs GST : 0 Rs Total Fee : 4100 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)