REGISTRATION FORM
Date: 2026-06-11 Reg. No.: 2026/854 Center Code: 2026 Name : Dipanshi Father s Name : Sonu Date Of Birth : 2007-01-01 Contact Address (Correspondence) : Village Shyampur,dist Mbd Contact Address (Permanent) : Village Shyampur,dist Mbd Contact Details : (R) (O) (M)  Name Of Course : Certificate Course In Computer Software Covered :  Course Fee : 3500 Rs GST : 0 Rs Total Fee : 3500 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)